Provider Demographics
NPI:1336484088
Name:MOORE, MICHELLE HOWZE (DPT)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:HOWZE
Last Name:MOORE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:Y
Other - Last Name:HOWZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:27495 HALEY LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4211
Mailing Address - Country:US
Mailing Address - Phone:281-394-4704
Mailing Address - Fax:281-768-3602
Practice Address - Street 1:9201 PINECROFT DR STE 200
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3889
Practice Address - Country:US
Practice Address - Phone:281-394-4704
Practice Address - Fax:281-768-3602
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12084532251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1208453OtherPHYSICAL THERAPY BOARD