SearchMichigan2255A2300X

Anthony Moon, ATC

NPI 1285171603 · on the registry since 2017 · sole proprietor

Practice

Address
36460 22nd St
Kalamazoo, MI 49009
Phone
(269) 547-9560

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-23

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 Michigan