Whalio Doctors

NPI 1013427665

Michael P Moore, DPT

Practitioner Physical Therapist Lakeside, MT

Practice location

Address
306 Stoner Loop STE 3, Lakeside, MT 59922-8601
Phone
(406) 844-0744
Fax
(406) 844-0759
Mailing address
PO Box 5718, Kalispell, MT 59903-5718

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 13127 (MT)

Registry record

NPI
1013427665
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Oct 2017
Record last updated
10 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.