Individual
MRS. TAFFI MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
463 ASHLEY RIDGE BLVD STE 100, SHREVEPORT, LA 71106-7231
(318) 671-8772
(318) 671-8776
Mailing address
2226 MURPHY ST, SHREVEPORT, LA 71103-2549
(318) 603-6797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06461
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06461
STATE LICENSE
LA
Enumeration date
03/21/2007
Last updated
08/26/2021
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