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

Heath C.r. Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1184050189

Heath C.r. Moore, PTA is a Physical Therapy Assistant in Fremont, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4554 W 48th St
Fremont, MI 49412-8721
Phone: (231) 924-1013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502003641 (MI)

Record details

NPI number1184050189
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 23, 2013
Last updated in NPPESSeptember 23, 2013
Mailing address1019 Ramshorn Dr, Fremont, MI 49412-7893

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