Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON MICHELLE MOORE
Active Sole ProprietorMRS. SHANNON MICHELLE MOORE is a Developmental Therapist healthcare provider located in KEAVY, Kentucky. NPI 1326388893 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · KEAVY, KY
Registration Details
- NPI Number
- 1326388893
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 21, 2013 (13.524484809354 yrs)
- Last Updated
- Aug 26, 2013
- License
-
201093768 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
340 RALLEY RDKEAVY, KY, 407372729Browse KY providers · Browse ZIP 40737
- Phone
- 6066827333
- Fax
- 6068643897
- Primary Specialty
-
Developmental Therapist
222Q00000X
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.