Individual provider · Type 1 NPI
Michael Moore
Developmental Therapist · Powell, WY
Practice location
220 Pebble Creek Rd
Powell, WY 82435-2271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1750747564
Michael Moore's National Provider Identifier is 1750747564, issued on Jan 8, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Powell, WY. The record was last updated on Jan 8, 2016.