Shannon Moore
Physical Therapist - Orthopedic
235 Open Sky Way
Kila
, Montana 59920-7700
Shannon Moore
Physical Therapist - Orthopedic
235 Open Sky Way
Kila
, Montana 59920-7700
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Shannon Moore
- Po Box 752
- Kila, MT
- Zip : 59920-0752
- Phone :
Second Address
- Shannon Moore
- 235 Open Sky Way
- Kila, MT
- Zip : 59920-7700
- Phone : (678) 554-8088
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FAQs
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Where is Shannon Moore ’s practice located?
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Does Shannon Moore offers telemedicine?
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Does Shannon Moore have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT013525 | GA |
National Provider Identifier
| NPI | 1033764055 |
|---|---|
| Provider Name | Shannon Moore |
| First Address | Kila, MT 59920-0752 |
| Second Address | Kila, MT 59920-7700 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/08/2019 |
| Last Update Date | 06/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.