MEDICARE: KRISTI DAWN MOORE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2281	NV
2	225100000X	Physical Therapist	27972	CA

General Provider Information

NPI Number	:	1467437301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTI DAWN MOORE PT

Provider Business Mailing Address
First Line	:	826 CALLUNA ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-4708
Country	:	US
Telephone Number	:	702-480-9249
Fax Number	:

Provider Business Practice Location Address
First Line	:	826 CALLUNA ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-4708
Country	:	US
Telephone Number	:	702-480-9249
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	03/20/2026

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Directions to “ KRISTI DAWN MOORE PT” Practice Location

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