Individual
HAYDEN LAWRENCE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
615 LILLY RD NE STE 240, OLYMPIA, WA 98506-5117
(360) 413-3850
(360) 359-4726
Mailing address
615 LILLY RD NE STE 240, OLYMPIA, WA 98506-5117
(360) 413-3850
(360) 359-4726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2022029713
MO
225100000X
Physical Therapist
8157
ID
225100000X
Physical Therapist
Primary
CP018896T
WA
Other
Enumeration date
05/27/2022
Last updated
03/22/2023
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