Individual
TYLER SCOTT MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
416 GREEN ARBOR LN, WINSTON SALEM, NC 27103-5547
(303) 902-8358
Mailing address
416 GREEN ARBOR LN, WINSTON SALEM, NC 27103-5547
(303) 902-8358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4740
NC
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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