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NPI Code Detail

MEDICARE: BRIAN MOSS MPT

MEDICARE:   BRIAN  MOSS  MPT
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
1225100000XPhysical Therapist5760AZ

General Provider Information

NPI Number : 1689618548
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN MOSS MPT
Provider Business Mailing Address
First Line : 1807 E QUEEN CREEK RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85286-2024
Country : US
Telephone Number : 602-666-6602
Fax Number : 602-666-6167
Provider Business Practice Location Address
First Line : 1807 E QUEEN CREEK RD STE 7
Second Line :
City : CHANDLER
State : AZ
Zip : 85286-2023
Country : US
Telephone Number : 602-666-6602
Fax Number : 602-666-6167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 02/02/2026

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Directions to “ BRIAN MOSS MPT” Practice Location

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