Individual
KAITLIN LEWIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2241 TREELIGHT WAY STE 104, WENDELL, NC 27591-3212
(919) 241-8996
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20404
NC
Other
Enumeration date
05/12/2021
Last updated
01/13/2026
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