| Doctor Name: | MR. JEONG MOON |
| NPI Number: | 1447434741 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | 11-03572 |
| Business Practice Address: | 2021 Vanesta Pl Suite C Manhattan, KS - 665030380 |
| Business Phone Number: | 7853207400 |
| Business Fax Number: | 7853207598 |
| Mailing Address: | 3512 Sw Fairlawn Rd, Suite 200 TOPEKA |
| State: | KS |
| Postal Code: | 666143981 |
| Phone Number: | 7852717246 |
| Fax Number: | 7852717249 |
| NPI Enumeration Date: | 12/21/2007 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11-03572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| 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 |