Individual
TARYN LEIGH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
355 FRONT ST, NEW WAVERLY, TX 77358-3527
(936) 291-6451
Mailing address
3011 SAND DR, HUNTSVILLE, TX 77340-6856
(843) 696-8061
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
03/17/2018
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