Lance Kenneth Moore, PT, DPT

NPI #1992466411 in Tupelo, Mississippi

Provider Information

NPI Number
1992466411
Entity Type
Individual
Name
Lance Kenneth Moore, PT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
Jan 6, 2022
Last Updated
Jan 6, 2022

Practice Location

Address
1211 S GLOSTER ST STE C
City
Tupelo
ZIP Code
38801-6548
Phone
(662) 432-1523

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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