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Ethan Moore, DC
Chiropractor in Waterford, Pennsylvania
NPI 1205568730

Ethan Moore is a Chiropractor based in Waterford, PA. Ethan Moore practices in Waterford, PA and has the professional credentials of DC. The NPI Number for Ethan Moore is 1205568730 and holds a License No. DC011737 (Pennsylvania).

The current practice location address for Ethan Moore is 991 Route 19 N Ste C, Waterford, PA and can be reached out via phone at 814-679-6200.

Location: 991 Route 19 N Ste C, Waterford, PA, 16441-9739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205568730
Provider Name
Ethan Moore
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
991 Route 19 N Ste C, Waterford, PA, 16441-9739
Phone Number
814-679-6200
Fax Number
Provider Enumeration Date
06/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
991 Route 19 N Ste C
City
Waterford
State
Pennsylvania
Zip
16441-9739
Phone Number
814-679-6200
Fax Number
person
Provider Business Mailing Address Details
Address
991 Route 19 N Ste C
City
Waterford
State
Pennsylvania
Zip
16441-9739
Phone Number
814-679-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC011737 (Pennsylvania)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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