Ethan Moyer, DPT | |
274 Union Blvd Ste 100, Lakewood, CO 80228-1836 | |
(303) 232-0391 | |
Not Available |
Full Name | Ethan Moyer |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 274 Union Blvd Ste 100, Lakewood, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053197418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 0019931 (Colorado) | Primary |
Provider Name | Johanna Lubbe Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104437516 PECOS PAC ID: 1759701337 Enrollment ID: O20201020003473 |
Mailing Address | Practice Location Address |
---|---|
Ethan Moyer, DPT 1 Old Schoolhouse Rd, Purdys, NY 10578 Ph: () - | Ethan Moyer, DPT 274 Union Blvd Ste 100, Lakewood, CO 80228-1836 Ph: (303) 232-0391 |
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