NPI 1750747564

Michael Moore

Practitioner Developmental Therapist Powell, WY

Practice location

Address: 220 Pebble Creek Rd, Powell, WY 82435-2271
Phone: (307) 254-3560

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Wyoming →

Registry record

NPI: 1750747564
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jan 2016
Record last updated: 8 Jan 2016

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.