MR. Scott Moore

NPI #1942498712 in Clarksville, Tennessee

Provider Information

NPI Number: 1942498712
Entity Type: Individual
Name: MR. Scott Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthotic Fitter
Enumeration Date: Oct 5, 2007
Last Updated: Oct 5, 2007

Practice Location

Address: 705 N 2ND ST
Address 2: SUITE A
City: Clarksville
State: Tennessee
ZIP Code: 37040-1917
Phone: (931) 520-0244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary

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