Mia Moon

Physical Therapy Assistant · Springdale, AR

Individual Active NPI

NPI number 1487351243

Practice location

922 E Emma Ave
Springdale, AR 72764-4503
Phone
(479) 770-0788

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NPI record

NPI
1487351243
Entity type
Individual (Type 1)
Enumeration date
February 13, 2023
Last updated
February 13, 2023
Certified
February 13, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X — —

Mailing address

4536 W Havana Ave
Fayetteville, AR 72704-4042
Phone
(479) 841-7018

About Mia Moon

Mia Moon is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 922 E Emma Ave, Springdale, AR 72764-4503. The NPI number 1487351243 was assigned on February 13, 2023 and the record was last updated on February 13, 2023.

Frequently asked questions

What is the NPI number of Mia Moon?

The NPI number is 1487351243.

What is the phone number of Mia Moon?

The phone number listed for the practice location is (479) 770-0788.

Where is Mia Moon located?

922 E Emma Ave, Springdale, AR 72764-4503.

What is the taxonomy code for Mia Moon?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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