Individual
DR. KAYLA ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
25 BRIDGE ST, BELCHERTOWN, MA 01007-8909
(413) 323-1020
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
188339
AK
225100000X
Physical Therapist
301237
CA
225100000X
Physical Therapist
Primary
5535
HI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/12/2022
Last updated
10/28/2024
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