Individual provider · Type 1 NPI

Andrew L. Moore, P.T.A.

Physical Therapy Assistant · Blythewood, SC

NPI number 1003612003 Active

Practice location

420-B Mcnulty Road P.o. Box 219
Blythewood, SC 29016-8926

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X6817 (SC)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1003612003

Andrew L. Moore, P.T.A.'s National Provider Identifier is 1003612003, issued on Feb 20, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Blythewood, SC. The record was last updated on Feb 20, 2025.