Doctor Name: | MR. MICHAEL J MOORE |
NPI Number: | 1104900620 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT FFAAOMPT |
License Number: | 7554 |
Business Practice Address: | 115 Natoma St Folsom, CA - 95630 |
Business Phone Number: | 9163558196 |
Business Fax Number: | 9163558196 |
Mailing Address: | 115 Natoma St, FOLSOM |
State: | CA |
Postal Code: | 95630 |
Phone Number: | 9163558196 |
Fax Number: | 9163558196 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |