Individual
KRISTA RENE MOORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2016 S ALABAMA AVE, MONROEVILLE, AL 36460-3044
(251) 743-7328
(251) 743-7330
Mailing address
197 MORNING RIDGE RD, MONROEVILLE, AL 36460-5111
(251) 575-4320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3125
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51522936
BCBS OF AL
AL
Enumeration date
05/02/2007
Last updated
07/08/2007
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