Individual
SUSAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 S INDIANA AVE, CALDWELL, ID 83605
(208) 459-0808
(208) 459-6668
Mailing address
2814 S INDIANA AVE, CALDWELL, ID 83605-5925
(208) 459-0808
(208) 459-6668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5383
ID
225200000X
Physical Therapy Assistant
PTA-220
ID
Other
Enumeration date
06/13/2008
Last updated
08/30/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us