Shannon Moore, DPT is a
Physical Therapist - Orthopedic based in Kila, Montana. Shannon Moore is licensed to practice in Georgia (license number PT013525) and her current practice location is
235 Open Sky Way, Kila, Montana. She can be reached at her office (for appointments etc.) via phone at
(678) 554-8088.
NPI number for Shannon Moore is 1033764055 and her current mailing address is Po Box 752, Kila, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033764055.
Healthcare Provider's Profile
Full Name | Shannon Moore |
---|
Gender | Female |
---|
Speciality | Physical Therapist - Orthopedic |
---|
Location | 235 Open Sky Way, Kila, Montana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033764055
- Provider Enumeration Date: 08/06/2019
- Last Update Date: 08/06/2019
Medical Identifiers
Medical identifiers for Shannon Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033764055 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | PT013525 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Moore, DPT Po Box 752, Kila, MT 59920-0752 Ph: () - | Shannon Moore, DPT 235 Open Sky Way, Kila, MT 59920-7700 Ph: (678) 554-8088 |
Reviews and Comments