Individual
MR. ANTHONY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1410 SW TRADITION DR STE 290, ANKENY, IA 50023
(515) 875-9706
(515) 875-9718
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004810
IA
Other
Enumeration date
07/07/2011
Last updated
12/26/2023
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