Organization
BACK2ACTIVITY PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEA MOORE MPT (PHYSICAL THERAPIST/OWNER)
(806) 663-2602
Entity
Organization
Contact information
Practice address
1500 N HOBART ST, PAMPA, TX 79065-4126
(806) 419-1168
(806) 419-1149
Mailing address
1814 CHARLES ST, PAMPA, TX 79065-3610
(806) 419-1168
(806) 419-1169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/13/2019
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