Individual provider · Type 1 NPI

Tabitha Jane Moore, PTA

Physical Therapy Assistant · Kenosha, WI

NPI number 1609140979 Active

Practice location

3415 Sheridan Rd
Kenosha, WI 53140-1924

Call (262) 657-6175 Map

Mailing address

8616 Fox Haven Chase
Sturtevant, WI 53177-2973

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X247-19 (WI)

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 1609140979

Tabitha Jane Moore, PTA's National Provider Identifier is 1609140979, issued on Mar 2, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Kenosha, WI. The record was last updated on Mar 2, 2012.