| Doctor Name: | JEFF MOORE |
| NPI Number: | 1063661684 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 2173PT |
| Business Practice Address: | 1125 W Kagy Blvd Ste. 101a Bozeman, MT - 597155881 |
| Business Phone Number: | 4065560562 |
| Business Fax Number: | 4065560965 |
| Mailing Address: | 1125 W Kagy Blvd, Ste. 101a BOZEMAN |
| State: | MT |
| Postal Code: | 597155881 |
| Phone Number: | 4065560562 |
| Fax Number: | 4065560965 |
| NPI Enumeration Date: | 09/18/2008 |
| NPI Last Update Date: | 09/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2173PT |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |