Travis Moody, PTA

NPI #1780993675 in West Memphis, Arkansas

Provider Information

NPI Number: 1780993675
Entity Type: Individual
Name: Travis Moody, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 27, 2010
Last Updated: Sep 27, 2010

Practice Location

Address: 620 THOMPSON AVE
City: West Memphis
State: Arkansas
ZIP Code: 72301-3257
Phone: (870) 702-4911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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