Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moscow Charter School

Organization Pediatric Physical Therapist · NPI 1669734042

Moscow Charter School is a Pediatric Physical Therapist in Moscow, Idaho. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

1723 E F St
Moscow, ID 83843-9571
Phone: (208) 883-3195
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Pediatric Physical Therapist Taxonomy 2251P0200X

Record details

NPI number1669734042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Dunn — Business Manager · (208) 883-3195
NPI enumeratedJune 12, 2012
Last updated in NPPESJune 12, 2012
Mailing address1723 E F St, Moscow, ID 83843-9571

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