Individual provider · Type 1 NPI

Kimberly Moore, LAT

Athletic Trainer · Green Bay, WI

NPI number 1477301604 Active

Practice location

1970 S Ridge Rd
Green Bay, WI 54304-4125

Call (920) 430-4888 Map

Mailing address

310 Madison Way Apt 5
Shawano, WI 54166-3872

Specialties and licenses

Taxonomy	Code	License
Athletic Trainer Primary	2255A2300X	3155-39 (WI)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1477301604

Kimberly Moore, LAT's National Provider Identifier is 1477301604, issued on May 13, 2024. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Green Bay, WI. The record was last updated on May 13, 2024.