Individual provider · Type 1 NPI

Casey Blythe Moore, MS, ATC, SCAT

Student in an Organized Health Care Education/Training Program · Greenville, SC

NPI number 1134492093 Active

Practice location

3300 Palmetto Hwy
Greenville, SC 29613-0001

Call (828) 260-1308 Map

Mailing address

7863 Champion Way, Unit A
North Charleston, SC 29418-2210

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X1258 (SC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134492093

Casey Blythe Moore, MS, ATC, SCAT's National Provider Identifier is 1134492093, issued on Feb 22, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenville, SC. The record was last updated on Feb 22, 2012.