Provider Demographics
NPI:1811072473
Name:MOYER, SKIP ALLEN (MS PT)
Entity type:Individual
Prefix:MR
First Name:SKIP
Middle Name:ALLEN
Last Name:MOYER
Suffix:
Gender:M
Credentials:MS PT
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Mailing Address - Street 1:1907 TIMBERLINE DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7125
Mailing Address - Country:US
Mailing Address - Phone:239-642-3948
Mailing Address - Fax:
Practice Address - Street 1:863 HATHAWAY RD
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-1916
Practice Address - Country:US
Practice Address - Phone:508-996-6763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAPTL20882225100000X
FLPT0014520225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY6602Medicare UPIN