Brittany Megan Moores, MSPO, LCPO, CPO
in Olympia, WA. Individual provider (NPI-1).
NPI number1114690807
StatusActive
Last updated in NPPESJul 28, 2021
Details
- NPI
- 1114690807
- Entity type
- Individual (NPI-1)
- Name
- Brittany Megan Moores
- Credential
- MSPO, LCPO, CPO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2021
- Certification date
- Feb 16, 2021
- Last updated
- Jul 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Z00000X | – | – | Yes | |
| 224P00000X | Prosthetist | – | – |
Practice location
3508 12th Ave NeOlympia, WA 98506-5218
Phone 360-459-1099
Mailing address
215 Columbia St Nw Unit 218Olympia, WA 98501-8204
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