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

CRYSTAL BAXLEY MOORE

Active Sole Proprietor

CRYSTAL BAXLEY MOORE is a Physical Therapist Assistant healthcare provider located in ELIZABETHTOWN, North Carolina. NPI 1477084614 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · ELIZABETHTOWN, NC

Registration Details

NPI Number
1477084614
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2017 (9.4344415317564 yrs)
Last Updated
Mar 21, 2017
License
C48738 (NC)
Sole Proprietor
Yes

Practice Information

Address
105 EAST BROAD ST
ELIZABETHTOWN, NC, 28337
Browse NC providers · Browse ZIP 28337
Phone
9109913151
Primary Specialty
Physical Therapist Assistant
1744P3200X
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.