Individual
DR. TIMOTHY TYLER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
39000 MENTOR AVE, WILLOUGHBY, OH 44094-8095
(440) 953-3950
(440) 953-3953
Mailing address
39000 MENTOR AVE, WILLOUGHBY, OH 44094-8095
(440) 953-3950
(440) 953-3953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356624860
GROUP NPI
OH
Enumeration date
10/25/2006
Last updated
05/28/2024
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