SearchKansas103TC0700X

Theodore Moeller, PH D

NPI 1972524742 · on the registry since 2006

Practice

Address
400 N Woodlawn
Suite 202
Wichita, KS 67206
Phone
(316) 686-5151
Fax
(316) 652-2436
Organisation at this address
Blue Moon Therapy Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Kansas