Individual
DR. PAUL TYLER MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3135 PEOPLES ST #404, JOHNSON CITY, TN 37604
(423) 454-1006
Mailing address
1134 RITTERTOWN RD, HAMPTON, TN 37658
(423) 297-6461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TN
Other
Enumeration date
05/08/2023
Last updated
05/10/2023
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