Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 1314479 | TX |
N | 225XE1200X | Ergonomics | 1314479 | TX |
N | 2251N0400X | Physical Therapist - Neurology | 1314479 | TX |
N | 2251S0007X | Physical Therapist - Sports | 1314479 | TX |
Y | 2251X0800X | Physical Therapist - Orthopedic | 1314479 | TX |
NPI | 1184189813 |
---|---|
Provider Name | Leigh Moss |
First Address | Thornton, CO 80229-5023 |
Second Address | Thornton, CO 80229-5023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2019 |
Last Update Date | 17/11/2020 |