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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHANIEL JAMES ROBERT MOORE

Active Sole Proprietor

NATHANIEL JAMES ROBERT MOORE is a Athletic Trainer healthcare provider located in APPLE VALLEY, Minnesota. NPI 1104407451 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · APPLE VALLEY, MN

Registration Details

NPI Number
1104407451
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2021 (5.2851704869547 yrs)
Last Updated
Apr 19, 2021
Sole Proprietor
Yes

Practice Information

Address
15957 FIRTREE DR
APPLE VALLEY, MN, 551245834
Browse MN providers · Browse ZIP 55124
Phone
6125584112
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in APPLE VALLEY, MN

Name Credential NPI
DOUGLAS MICHAEL NELSON ATC 1316913056
ANNE KAROL SWANBERG MS, ATC 1942331251
ANN ROWAN ATC 1700282142
JACQUELINE WALZ 1942974514
MELISSA KRAPF ATC 1225811151
VICTORIA JOY ELLINGSON 1689446254
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.