Individual
CASEY LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SCAT, ATC
Contact information
Practice address
1300 BRUSHY CREEK RD, TAYLORS, SC 29687-4007
(540) 915-5725
Mailing address
3615 YELLOW MOUNTAIN RD SE, ROANOKE, VA 24014-6437
(540) 915-5725
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1902
SC
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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