Individual
KAYLA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9950 CALUMET AVE, MUNSTER, IN 46321-4028
(219) 703-2755
Mailing address
9950 CALUMET AVE, MUNSTER, IN 46321-4028
(219) 703-2755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012979A
IN
Other
Enumeration date
08/12/2019
Last updated
10/30/2019
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