MRS. Natasha Moore

NPI #1144060096 in Grethel, Kentucky

Provider Information

NPI Number: 1144060096
Entity Type: Individual
Name: MRS. Natasha Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: May 29, 2024
Last Updated: May 29, 2024

Practice Location

Address: 153 MAPLE ST
City: Grethel
State: Kentucky
ZIP Code: 41631-6321
Phone: (606) 497-5507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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