Doctor Name: | JOE E MOORE |
NPI Number: | 1699852442 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 4746-024 |
Business Practice Address: | 3303 Superior Ave Sheboygan, WI - 530811861 |
Business Phone Number: | 9202083557 |
Business Fax Number: | 9202083527 |
Mailing Address: | W2561 Miley Rd, SHEBOYGAN FALLS |
State: | WI |
Postal Code: | 530852975 |
Phone Number: | 9204679554 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4746-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |