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

Mrs. Mary Melissa Moore, PT

Individual provider Physical Therapist · NPI 1639326184

Mrs. Mary Melissa Moore, PT is a Physical Therapist in Saint Joseph, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2500 Niles Rd Ste 3
Saint Joseph, MI 49085-3237
Phone: (269) 428-1550
Fax: (269) 428-6762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501010163 (MI)

Record details

NPI number1639326184
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 26, 2008
Last updated in NPPESAugust 26, 2008

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