Individual provider · Type 1 NPI

Casey Moore

Physical Therapy Assistant · Normal, IL

NPI number 1225447246 Active

Practice location

509 N Adelaide St
Normal, IL 61761-2422

Call (309) 451-0393 Map

Mailing address

25168 N 2200 East Rd
Lexington, IL 61753-7517

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.005502 (IL)

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 1225447246

Casey Moore's National Provider Identifier is 1225447246, issued on Aug 4, 2014. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Normal, IL. The record was last updated on Aug 4, 2014.