Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THADDEUS L MOORE JR.
ActiveMR. THADDEUS L MOORE JR. is a Athletic Trainer healthcare provider located in CHESTERTOWN, Maryland. NPI 1265425839 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CHESTERTOWN, MD
Registration Details
- NPI Number
- 1265425839
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2005 (20.918056472318 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
300 WASHINGTON AVECHESTERTOWN, MD, 216201438Browse MD providers · Browse ZIP 21620
- Phone
- 4107787243
- Fax
- 4107787741
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CHESTERTOWN, MD
| Name | Credential | NPI |
|---|---|---|
| MATHEW J AN | MS, ATC | 1194130070 |
| JORDAN REDDING | LAT, ATC | 1861808248 |
| CARRIE KERR | ATC | 1275942898 |
| CAITLIN BUCKLEY | — | 1316443633 |
| TYLER FAULKNER | LAT, ATC, CES | 1609480631 |
| NICHOLE CROUCH | — | 1184371429 |
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.