Michael Moore
Michael Moore is a Developmental Therapist in Powell, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
220 Pebble Creek RdPowell, WY 82435-2271
Phone: (307) 254-3560
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1750747564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2016 |
| Last updated in NPPES | January 8, 2016 |
| Mailing address | 220 Pebble Creek Rd, Powell, WY 82435-2271 |
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