Individual
DR. BOBBY BELL MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
16557 W MAIN ST, LOUISVILLE, MS 39339-2647
(662) 617-4350
(949) 404-8347
Mailing address
5295 SHILOH RD, LOUISVILLE, MS 39339-8466
(662) 617-4350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7318
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7318
PHYSICAL THERAPY LICENSURE
MS
Enumeration date
11/07/2022
Last updated
02/12/2025
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