Mary Moore, P.T

NPI 1639326184 · on the registry since 2008 · sole proprietor

Practice

Address: 2500 Niles Rd
Suite 3
Saint Joseph, MI 49085
Phone: (269) 428-1550
Fax: (269) 428-6762
Organisation at this address: Axon Psychology Group, Pc
Spectrum Health Hospitals
Lakeland Medical Practices
Lakeland Medical Practices
Lakeland Medical Practices
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-08-26

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