Individual provider · Type 1 NPI

Phyllis Diane Moore I, AAS

Physical Therapy Assistant · Columbia, TN

NPI number 1407940604 Active

Practice location

2710 Trotwood Ave
Columbia, TN 38401-4903

Call (391) 388-7182 Map

Mailing address

3617 Craig Bridge Rd
Williamsport, TN 38487-2160

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X246 (TN)

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 1407940604

Phyllis Diane Moore I, AAS's National Provider Identifier is 1407940604, issued on Oct 3, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Columbia, TN. The record was last updated on Jul 8, 2007.