Individual
MICHELE LEIGH MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
401 STRADELLA CT, RENO, NV 89521-4299
(608) 225-2009
Mailing address
401 STRADELLA CT, RENO, NV 89521-4299
(608) 225-2009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3038
NV
225100000X
Physical Therapist
Primary
5284-024
WI
225100000X
Physical Therapist
PTL-11520
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36132400
—
WI
Enumeration date
12/20/2006
Last updated
04/10/2021
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