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Individual

MR. SHAWN GLENN MOEHRING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPT, DIP. MDT, OCS

Contact information

Practice address
640 N THORNTON ST, POST FALLS, ID 83854-7495
(208) 773-2888
(208) 806-0222
Mailing address
640 N THORNTON ST, POST FALLS, ID 83854-7495
(208) 773-2888
(208) 806-0222

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1075
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT-1075
PHYSICAL THERAPY LICENSE
ID
Enumeration date
05/19/2009
Last updated
08/09/2022
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