Individual
NEIL A. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC/LAT, CSCS
Contact information
Practice address
1111 N GLENSTONE AVE, ATHLETIC TRAINING ROOM-ASHCROFT CENTER, SPRINGFIELD, MO 65802-2125
(417) 865-2815
(417) 575-5494
Mailing address
1111 N GLENSTONE AVE, ATHLETIC TRAINING ROOM-ASHCROFT CENTER, SPRINGFIELD, MO 65802-2125
(417) 865-2815
(417) 575-5494
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2002019585
MO
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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