Individual provider · Type 1 NPI

Heath C.r. Moore, PTA

Physical Therapy Assistant · Fremont, MI

NPI number 1184050189 Active

Practice location

4554 W 48th St
Fremont, MI 49412-8721

Call (231) 924-1013 Map

Mailing address

1019 Ramshorn Dr
Fremont, MI 49412-7893

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502003641 (MI)

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 1184050189

Heath C.r. Moore, PTA's National Provider Identifier is 1184050189, issued on Sep 23, 2013. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fremont, MI. The record was last updated on Sep 23, 2013.