Individual
COURTNEY L MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
Mailing address
3317 AUGUSTA AVE, CINCINNATI, OH 45211-3501
(419) 509-5802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT005336
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
06/03/2026
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