Individual
THOMAS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17376 JORDAN STREET, CHATOM, AL 36518
(251) 847-3952
Mailing address
PO BOX 763, CHATOM, AL 36518-0763
(251) 847-3952
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
174H00000X
Health Educator
—
—
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
03/02/2021
Last updated
05/23/2024
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