Doctor Name: | ALEX MOON |
NPI Number: | 1578791877 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PENDING |
Business Practice Address: | 3908 Creekside Loop Ste. 120 Yakima, WA - 989024858 |
Business Phone Number: | 5095760100 |
Business Fax Number: | 5095760101 |
Mailing Address: | 3908 Creekside Loop, Ste. 120 YAKIMA |
State: | WA |
Postal Code: | 989024858 |
Phone Number: | 5095760100 |
Fax Number: | 5095760101 |
NPI Enumeration Date: | 06/24/2009 |
NPI Last Update Date: | 06/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PENDING |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |