Moore, Susan

Moore, Susan is an individual health care provider with primary practice located at 2814 S Indiana Ave , Caldwell ID 83605. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Moore, Susan can be contacted via phone (208) 459-0808.

Contact Information

Primary practice address
2814 S Indiana Ave Caldwell ID 83605
Phone: (208) 459-0808
Fax: (208) 459-6668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA-220 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-5383 Idaho

Profile Details

NPI number 1225298169
LBN Legal business name Moore, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Aug 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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