Individual
CRAIG PAUL MOORHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1440 SUNCREST DR, GRAY, TN 37615-4118
(423) 477-1600
Mailing address
220 ALFALFA LN, JONESBOROUGH, TN 37659-3175
(423) 202-2355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
394
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394
ATHLETIC TRAINING LICENSE
TN
Enumeration date
09/16/2005
Last updated
11/24/2016
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