Individual
JUSTIN L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
970 E EMORY RD, KNOXVILLE, TN 37938-4617
(865) 947-6622
(865) 947-6624
Mailing address
970 E EMORY RD, KNOXVILLE, TN 37938-4617
(865) 947-6622
(865) 947-6624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7770
TN
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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