IndividualActive
Melissa Moore, PTA
NPI 1962772186 · Health Maintenance Organization · Ordway, CO
Provider details
- NPI number
- 1962772186
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
401 Idaho Ave
Ordway, CO 81063-1328
Phone: (877) 306-0051
Approximate (ZIP-level) locationGet directions
Mailing address
4216 Sentinel Pl
Pueblo, CO 81008-1877
Registry dates
- Enumerated
- 2012-01-04
- Last updated
- 2012-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.