Matthew Moody
Clinic/Center, Physical Therapy in Eaton, OH. Individual provider (NPI-1).
NPI number1104764679
StatusActive
Last updated in NPPESMar 24, 2026
Details
- NPI
- 1104764679
- Entity type
- Individual (NPI-1)
- Name
- Matthew Moody
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2026
- Certification date
- Mar 24, 2026
- Last updated
- Mar 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | PTA.06378 | OH | Yes |
Practice location
515 S Maple StEaton, OH 45320-9413
Phone 937-456-5537
Mailing address
1450 Oak Park DrRichmond, IN 47374-1630
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