Individual
KIM M MOORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
533 W COLUMBIA ST, EVANSVILLE, IN 47710-1617
(812) 759-3001
(812) 401-9013
Mailing address
7300 E INDIANA ST, SUITE 102, EVANSVILLE, IN 47715-2794
(812) 476-0409
(812) 476-1016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000435A
IN
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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