MEDICARE: KOLBY MOORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PRD-PT-LIC-31711	MT

General Provider Information

NPI Number	:	1447185863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KOLBY MOORE

Provider Business Mailing Address
First Line	:	1595 GRAND AVE STE 265
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-3072
Country	:	US
Telephone Number	:	970-301-6558
Fax Number	:

Provider Business Practice Location Address
First Line	:	1595 GRAND AVE STE 265
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-3072
Country	:	US
Telephone Number	:	970-301-6558
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ KOLBY MOORE ” Practice Location

Language	Start Address	Practice Location

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