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

DR. STEPHANIE DIANE MOORE, PHD, ATC

Active Sole Proprietor

Athletic Trainer · FRESNO, CA

Registration Details

NPI Number
1932591773
Provider Type
Individual
Gender
Female
NPI Issued
Mar 3, 2015 (11.166235498662 yrs)
Last Updated
Aug 14, 2020
Sole Proprietor
Yes

Practice Information

Address
5275 N CAMPUS DR
M/S SG28
FRESNO, CA, 937400001
Browse CA providers · Browse ZIP 93740
Phone
5592780255
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in FRESNO, CA

Name Credential NPI
JASON J MCCAMEY MS, ATC 1396738340
PROF. SCOTT RAY SAILOR EDD ATC 1457344020
MR. SEAN MARTIN EDIN ATC, PTA 1811969462
ELISE MARIE KRAMER MS, ATC/L 1912934548
SARAH TACKETT ATC 1831234020
MS. ELIZABETH RENEE MICHEL ATC 1356476097
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.