Individual
NICHOLAS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9333 PARK WEST BLVD, SUITE 102, KNOXVILLE, TN 37923-4341
(865) 470-2696
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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