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Jon Moot, PT

Physical Therapist in North Las Vegas, NV. Individual provider (NPI-1).

NPI number1033744339
StatusActive
Last updated in NPPESMar 6, 2020

Details

NPI
1033744339
Entity type
Individual (NPI-1)
Name
Jon Moot
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Mar 6, 2020
Certification date
Mar 6, 2020
Last updated
Mar 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

2225 E Centennial Pkwy Ste 106
North Las Vegas, NV 89081-5602

Phone 702-936-7165

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

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