Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVYANA MOORE
ActiveKEVYANA MOORE is a Recreational Therapist Assistant healthcare provider located in SAINT LOUIS, Missouri. NPI 1124650551 is currently active in the NPPES registry. Verify at CMS.
Recreational Therapist Assistant · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1124650551
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 4, 2020 (6.3415449735481 yrs)
- Last Updated
- Feb 4, 2020
Practice Information
- Address
-
1430 OLIVE ST STE 400SAINT LOUIS, MO, 631032303Browse MO providers · Browse ZIP 63103
- Phone
- 3142063700
- Primary Specialty
-
Recreational Therapist Assistant
246YR1600X
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.