Laura Moore

Physical Therapy Assistant · Rupert, ID

Individual Active NPI

NPI number 1760837199

Practice location

75 E 400 N
Rupert, ID 83350-9571
Phone
(208) 431-8386

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NPI record

NPI
1760837199
Entity type
Individual (Type 1)
Enumeration date
May 4, 2016
Last updated
May 4, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA4619 ID

About Laura Moore

Laura Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 75 E 400 N, Rupert, ID 83350-9571. The NPI number 1760837199 was assigned on May 4, 2016 and the record was last updated on May 4, 2016.

Laura Moore lists a license in the registry: #PTA4619 (ID) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Laura Moore?

The NPI number is 1760837199.

What is the phone number of Laura Moore?

The phone number listed for the practice location is (208) 431-8386.

Where is Laura Moore located?

75 E 400 N, Rupert, ID 83350-9571.

What is the taxonomy code for Laura Moore?

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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