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NPI Code Detail

MEDICARE: TIMOTHY ADAM MOORE PT, DPT

MEDICARE: TIMOTHY ADAM MOORE PT, DPT
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
1225100000XPhysical TherapistPTH7901AL

General Provider Information

NPI Number : 1942665559
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY ADAM MOORE PT, DPT
Provider Business Mailing Address
First Line : 7242 BAILEY COVE RD SE
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-2746
Country : US
Telephone Number : 205-478-4418
Fax Number : 205-478-4418
Provider Business Practice Location Address
First Line : 7242 BAILEY COVE RD SE
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-2746
Country : US
Telephone Number : 205-478-4418
Fax Number : 205-478-4418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2015
Last Update Date : 04/06/2020

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Directions to “ TIMOTHY ADAM MOORE PT, DPT” Practice Location

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