Individual provider · Type 1 NPI

Tony Randelle Moore, P.T.A.

Physical Therapy Assistant · Plano, TX

NPI number 1649516600 Active

Practice location

5072 W Plano Pkwy, Suite 100
Plano, TX 75093-4476

Call (972) 818-3888 Map

Fax (972) 818-3889

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2057719 (TX)

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 1649516600

Tony Randelle Moore, P.T.A.'s National Provider Identifier is 1649516600, issued on Dec 19, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Plano, TX. The record was last updated on Dec 19, 2012.