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

Mickey Moore, MSOT

Individual provider Occupational Therapist · NPI 1407278187

Mickey Moore, MSOT is an Occupational Therapist in Chandler, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

3203 N Santa Anna St
Chandler, AZ 85224-1214
Phone: (480) 748-3519
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0264-P (AZ)

Record details

NPI number1407278187
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOT
Sole proprietorNo
NPI enumeratedJanuary 14, 2014
Last updated in NPPESJanuary 14, 2014

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