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
- State
- Mississippi
- ZIP Code
- 38801-6548
- Phone
- (662) 432-1523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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