Individual
CRYSTAL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3055 BARDIN RD STE 200, GRAND PRAIRIE, TX 75052-3819
(972) 522-2200
Mailing address
3055 BARDIN RD STE 200, GRAND PRAIRIE, TX 75052-3819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2188015
TX
225200000X
Physical Therapy Assistant
PTA32675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTHPARTNERS
—
Enumeration date
02/16/2026
Last updated
02/17/2026
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