Individual provider · Type 1 NPI

Kevin Dwayne Moore, PTA

Physical Therapy Assistant · Coeur D Alene, ID

NPI number 1124286109 Active

Practice location

500 W Aqua Ave
Coeur D Alene, ID 83815-7764

Call (208) 762-1122 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA344 (ID)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1124286109

Kevin Dwayne Moore, PTA's National Provider Identifier is 1124286109, issued on May 27, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 27, 2008.