Stacy Renee Moore, A.T.C. Valid NPI

Individual provider · Athletic Trainer · Harrah, OK

NPI

1205956430

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

427 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2007-03-30

Last updated

2014-08-15