Search › Idaho › 225100000X
Benjamin Moore, DPT, PT
NPI 1447009220 · on the registry since 2024
Practice
- Address
- 445 E Chubbuck Rd
Chubbuck, ID 83202 - Phone
- (208) 244-7794
- Fax
- (208) 922-7242
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-29
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