SearchIdahoPhysical Therapy Assistant

Kevin Moore, PTA

NPI 1124286109 · on the registry since 2008

Practice

Address
500 W Aqua Ave
Coeur D Alene, ID 83815
Phone
(208) 762-1122
Organisation at this address
Inmotion Imaging Llc
Lake City Medical Investors, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho