Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS SUSAN RENEE MOORE, ATC, MS, LAT
Active Sole ProprietorMISS SUSAN RENEE MOORE, ATC, MS, LAT is a Specialist healthcare provider located in WESSON, Mississippi. NPI 1881903896 is currently active in the NPPES registry. Verify at CMS.
Specialist · WESSON, MS
Registration Details
- NPI Number
- 1881903896
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2010 (15.891447037587 yrs)
- Last Updated
- Sep 26, 2010
- License
-
AT0476 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9030 MONTICELLO RDWESSON, MS, 391919027Browse MS providers · Browse ZIP 39191
- Phone
- 6016682932
- Primary Specialty
-
Specialist
174400000X
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.