Provider Demographics
NPI:1376980441
Name:MORAN, BRIAN (DPT)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:MORAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 WEAVERVILLE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1289
Mailing Address - Country:US
Mailing Address - Phone:828-519-9200
Mailing Address - Fax:828-519-9201
Practice Address - Street 1:133 WEAVERVILLE RD STE 2
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1289
Practice Address - Country:US
Practice Address - Phone:828-519-9200
Practice Address - Fax:828-519-9201
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP161072251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic