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

MIKAYLA ASHLYN MOORE, MAT, ATC

Active Sole Proprietor

MIKAYLA ASHLYN MOORE, MAT, ATC is a Athletic Trainer healthcare provider located in TYLER, Texas. NPI 1669820130 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · TYLER, TX

Registration Details

NPI Number
1669820130
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2016 (10.076303127473 yrs)
Last Updated
May 25, 2016
License
2000023668 (TX)
Sole Proprietor
Yes

Practice Information

Address
14701 COPPER RIDGE BLVD
TYLER, TX, 757063364
Browse TX providers · Browse ZIP 75706
Phone
9037143515
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in TYLER, TX

Name Credential NPI
MR. JESSE P AMBURN LAT,ATC 1992991947
JOHN C KLING ATC 1225352511
AMY LANGLEY ATC, LAT, CSCS, PES 1750667309
MR. JAMES WHALEY RAPP MS, ATC, LAT 1457629529
ELISABETH MITCHELL 1730595109
MALINDA RIGGINS 1346642345
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.