Individual
MR. DYLAN TYLER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
600 PARK ST # 1, HAYS, KS 67601-4009
(785) 628-4000
Mailing address
631 W 9TH ST, CONCORDIA, KS 66901-3321
(785) 614-2637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01132
KS
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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