Individual
MR. RICHARD LEE MOORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
415 CATLETT RD, SEVIERVILLE, TN 37862-5901
(865) 453-4747
Mailing address
415 CATLETT RD, SEVIERVILLE, TN 37862-5901
(865) 453-4747
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3703
TN
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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