| Doctor Name: | RICHARD SCOTT MOONEYHAM |
| NPI Number: | 1285618702 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT22252 |
| Business Practice Address: | 1823 Shaw Ave Ste 101 Clovis, CA - 936114065 |
| Business Phone Number: | 5592989120 |
| Business Fax Number: | 5592980822 |
| Mailing Address: | 246 Sobrante Way, SUNNYVALE |
| State: | CA |
| Postal Code: | 940864807 |
| Phone Number: | 4087333670 |
| Fax Number: | 4082457968 |
| NPI Enumeration Date: | 11/30/2005 |
| NPI Last Update Date: | 03/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT22252 |
| 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 |