Individual
MR. MICHAEL LEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5445 HOKEL LN, CINCINNATI, OH 45230-1137
(513) 623-7799
Mailing address
5445 HOKEL LN, CINCINNATI, OH 45230-1137
(513) 623-7799
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 000110
OH
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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