Individual
MELISSA H MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1110 W OMAHA ST, STE. #3, RAPID CITY, SD 57701-8120
(605) 721-5950
(605) 721-5940
Mailing address
1110 W OMAHA ST, STE. #3, RAPID CITY, SD 57701-8120
(605) 721-5950
(605) 721-5940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0312
SD
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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