Individual
CASEY R MOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 LONGMIRE RD, CLINTON, TN 37716-7338
(865) 457-6925
Mailing address
515 S EAST END RD, STRAW PLAINS, TN 37871-4425
(865) 221-4136
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6350
TN
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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