Individual
KERI H MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, NCS
Contact information
Practice address
5411 I 55 N, JACKSON, MS 39206-3616
(769) 216-3288
Mailing address
118 JORDAN DR, BRANDON, MS 39047-4536
(601) 954-1544
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT4745
MS
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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