IndividualActive
Lydia Moore, PT
NPI 1639724677 · Geriatric Physical Therapist · Bellevue, NE
Provider details
- NPI number
- 1639724677
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 3996 (NE)
Mailing address
206 S 19th St Apt 612
Omaha, NE 68102-1723
Registry dates
- Enumerated
- 2019-08-06
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.