Individual
ETHAN MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1500 JFK BLVD STE 1820, PHILADELPHIA, PA 19102-1725
(215) 454-2812
(267) 239-5027
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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