Individual
KATHLEEN MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
77 BATES ST, LEWISTON, ME 04240-7637
(207) 795-2122
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-7248
(207) 626-1827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5845
ME
Other
Enumeration date
11/30/2020
Last updated
03/28/2025
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