Individual
MS. AMY AYERS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4718 23RD AVE, SUITE 500, MISSOULA, MT 59803-1163
(406) 626-0400
(406) 626-0401
Mailing address
1838 RIVER RD, MISSOULA, MT 59801-1443
(406) 549-8919
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2023
MT
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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