Individual
MR. ASHLEY NICOLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2100 SILVA LN STE B, PEAK SPORT AND SPINE, MOBERLY, MO 65270-3600
(660) 263-6223
(660) 263-6224
Mailing address
2100 SILVA LN, SUITE 2, MOBERLY, MO 65270-3600
(660) 263-6223
(660) 263-6224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-016733
IL
Other
Enumeration date
08/09/2010
Last updated
05/27/2015
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