Individual provider · Type 1 NPI

Crystal Moore

Contractor · Milwaukee, WI

NPI number 1164170189 Active

Practice location

2115 W Roosevelt Dr
Milwaukee, WI 53209-6323

Call (414) 207-0551 Map

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1164170189

Crystal Moore's National Provider Identifier is 1164170189, issued on Mar 17, 2022. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 17, 2022.