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

Ethan Moore, DC

Individual provider Chiropractor · NPI 1205568730

Ethan Moore, DC is a Chiropractor in Waterford, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

991 Route 19 N Ste C
Waterford, PA 16441-9739
Phone: (814) 679-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC011737 (PA)

Record details

NPI number1205568730
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJune 24, 2022
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022
Mailing address991 Route 19 N Ste C, Waterford, PA 16441-9739

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