Individual
HEIDI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 S MONACO PKWY APT 143, DENVER, CO 80237-1202
(303) 591-9563
Mailing address
3825 S MONACO PKWY APT 143, DENVER, CO 80237-1202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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