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

KIMBERLE ANNE MOODY, PTA

Active

KIMBERLE ANNE MOODY, PTA is a Occupational Therapist healthcare provider located in MEDINA, Tennessee. NPI 1477431708 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MEDINA, TN

Registration Details

NPI Number
1477431708
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2025 (0.93440727202886 yrs)
Last Updated
Aug 25, 2025
License
2216 (TN)

Practice Information

Address
401 PROMISE WAY LN
MEDINA, TN, 383556967
Browse TN providers · Browse ZIP 38355
Phone
7314620020
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MEDINA, TN

Name Credential NPI
MOLLY BETH PATERSON 1417769662
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.