Search › Pennsylvania › 111N00000X
Ethan Moore, D.C
NPI 1205568730 · on the registry since 2022 · sole proprietor
Practice
- Address
- 991 Route 19 N Ste C
Waterford, PA 16441 - Phone
- (814) 679-6200
- Organisation at this address
- Regional Health Services, Inc.
Waterford Physical Therapy, Inc.
Kuzma Physical Therapy And Sports Medicine LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-24
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 Pennsylvania