Shelby Lauren Moore, PTA
NPI #1518365915 in Mount Vernon, Missouri
Provider Information
- NPI Number
- 1518365915
- Entity Type
- Individual
- Name
- Shelby Lauren Moore, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Dec 17, 2014
- Last Updated
- Dec 17, 2014
Practice Location
- Address
- 334 E MOUNT VERNON BLVD
- City
- Mount Vernon
- State
- Missouri
- ZIP Code
- 65712-2024
- Phone
- (417) 423-7410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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