Individual
MRS. ALEXANDRA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3999 DUTCHMANS LN, LOUISVILLE, KY 40207-4744
(502) 394-5678
(502) 394-5600
Mailing address
1208 SANDSTONE DR, JEFFERSONVILLE, IN 47130-8450
(859) 462-7404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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