Individual
MR. STEVEN RICHARD MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3110 E CLEVELAND, SUITE A5, CALDWELL, ID 83605
(208) 453-8785
(208) 453-8776
Mailing address
1175 E MASTIFF, MERIDIAN, ID 83642
(208) 884-0441
(208) 453-8776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
840RPT
ID
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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