Individual
KIRSTY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2501 RIVER RD, ASHLAND CITY, TN 37015-5402
(615) 792-4948
Mailing address
1716 THISTLEWOOD DR APT B, CLARKSVILLE, TN 37042-7864
(931) 933-1268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7450
TN
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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