Female

Emma N. Moots

Physical Therapy Assistant in Ann Arbor, MI(View on Map)

Full Name

Emma Noelle-marie Moots

NPI Number

1871223313

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/16/2022

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

5502008022

Contact
Information

Purpose

Mailing
Location

Address

1501 JONES DR APT 22
2830 S MAIN ST

City

Ann Arbor
Ann Arbor

State

MI
MI

Postal Code

48105-1837
48103-5806

Country

US
US

Telephone Number

(989) 859-6626
(734) 412-4727

Identifiers

Identifier

5502008022

Identifier State

MI

Identifier Issuer

MICHIGAN LICENSING BOARD

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/16/2022

Provider Address

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