Mark Moore, MPT, CWS

NPI 1588747588 · on the registry since 2006

Practice

Address: 6036 N 19th Ave Ste 303
Phoenix, AZ 85015
Phone: (602) 795-8441
Fax: (602) 795-8447
Organisation at this address: Daniel Remen Md
Sepein Chiang Do Pc
Raymond Ketcham Pllc
Smiles By Sadre Pllc
Agile Healthcare, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 42

Additional practice sites

6036 N 19th Ave Ste 303, Phoenix, AZ

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-11

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 Arizona