Individual provider · Type 1 NPI

Kathleen Marie Moore, PTA

Physical Therapy Assistant · Indianapolis, IN

NPI number 1235307588 Active

Practice location

5949 W Raymond St
Indianapolis, IN 46241-4348

Fax (317) 486-2189

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06003665A (IN)

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 1235307588

Kathleen Marie Moore, PTA's National Provider Identifier is 1235307588, issued on Feb 20, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 20, 2008.