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Individual

HEATHER RAE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
55 CENTRAL IOWA DR, MARSHALLTOWN, IA 50158-4705
(641) 754-6120
(641) 854-8205
Mailing address
55 CENTRAL IOWA DR, MARSHALLTOWN, IA 50158-4705
(641) 754-6120
(641) 854-8205

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
097003
IA
225100000X
Physical Therapist
Primary
2304
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215327283
CLINIC NPI
IA
Enumeration date
06/05/2019
Last updated
03/26/2026
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