Kellee Marie Moore

NPI #1598533804 in Thomas, Oklahoma

Provider Information

NPI Number: 1598533804
Entity Type: Individual
Name: Kellee Marie Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 15, 2023
Last Updated: Dec 15, 2023

Practice Location

Address: 118 E BROADWAY AVE
City: Thomas
State: Oklahoma
ZIP Code: 73669-8321
Phone: (580) 661-3517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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