Individual
MICHELLE RACHEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
750 N ESTRELLA PKWY STE 50, GOODYEAR, AZ 85338-9279
(623) 882-2992
(623) 925-4923
Mailing address
750 N ESTRELLA PKWY STE 50, GOODYEAR, AZ 85338-9279
(623) 882-2992
(623) 925-4923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10217PT
AZ
261QP2000X
Physical Therapy Clinic/Center
10217PT
AZ
Other
Enumeration date
03/13/2014
Last updated
04/20/2017
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