MISS Tameika Moore, ATC, LAT
NPI #1689630642 in Keithville, Louisiana
Provider Information
- NPI Number
- 1689630642
- Entity Type
- Individual
- Name
- MISS Tameika Moore, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Apr 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11942 GRAHAM RD
- City
- Keithville
- State
- Louisiana
- ZIP Code
- 71047-7370
- Phone
- (318) 426-7206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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