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

Susan Moore

Individual provider Physical Therapy Assistant · NPI 1225298169

Susan Moore is a Physical Therapy Assistant in Caldwell, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

2814 S Indiana Ave
Caldwell, ID 83605
Phone: (208) 459-0808
Fax: (208) 459-6668
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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 PT-5383 (ID)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA-220 (ID)

Record details

NPI number1225298169
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2008
Last updated in NPPESAugust 30, 2018
Mailing address2814 S Indiana Ave, Caldwell, ID 83605-5925

Other providers in Caldwell