Individual
DENISE MOORHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
700 E 1ST ST, SUITE A & B, OGALLALA, NE 69153-2747
(308) 284-7333
(308) 284-7334
Mailing address
700 E 1ST ST, SUITE A & B, OGALLALA, NE 69153-2747
(308) 284-7333
(308) 284-7334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
793
NE
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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