Individual
MR. SCOTT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 N 2ND ST, SUITE A, CLARKSVILLE, TN 37040-1917
(931) 520-0244
Mailing address
705 N 2ND ST, SUITE A, CLARKSVILLE, TN 37040-1917
(931) 520-0244
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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