Stacy Renee Moore in Choctaw - Athletic Trainer
Stacy Renee Moore - NPI 1205956430
Stacy Renee Moore is a Athletic Trainer in Choctaw, Oklahoma. Stacy Renee Moore practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Stacy Renee Moore is 1205956430. The last update date is 2014-08-15.
Stacy Renee Moore's current location address is 5670 Henney Pl, Choctaw, Oklahoma. You can contact this provider via phone number 4059901199. The mailing address for Stacy Renee Moore is 5670 Henney Pl, Choctaw, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Renee Moore |
|---|---|
| Address | 5670 Henney Pl, Choctaw, Oklahoma |
| Phone Number | 4059901199 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | A.T.C. |
NPI Number Detail
| NPI Number | 1205956430 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2014-08-15 |
Provider Mailing Address Detail
| Address | 5670 Henney Pl |
|---|---|
| City | Choctaw |
| State | Oklahoma (OK) |
| Post Code | 730209134 |
| Phone Number | 4059901199 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 427 |
|
Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
|
Post Comment/ Review Below
What is the unique identifier code issued to Stacy Renee Moore by the Centers for Medicare & Medicaid Services?
The Stacy Renee Moore has been assigned the NPI (National Provider Identifier) 1205956430. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stacy Renee Moore is physically located?
The Stacy Renee Moore is physically situated at the following address: 5670 Henney Pl, Choctaw, OK, 730209134.
What is Stacy Renee Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stacy Renee Moore is Athletic Trainer, and the taxonomy code that classifies this field of practice is 2255A2300X.
When was the Stacy Renee Moore's 1205956430 issued?
The Stacy Renee Moore's 1205956430 was issued on 2007-03-30.
When was the Stacy Renee Moore's information last updated?
The Stacy Renee Moore's information was last updated on 2014-08-15.