Individual provider · Type 1 NPI

Kathleen M. Moore, PTA

Physical Therapy Assistant · Charles Town, WV

NPI number 1790043974 Active

Practice location

50 Mulberry Tree St
Charles Town, WV 25414-1274

Call (304) 724-1101 Map

Mailing address

23 Frye Ct
Lovettsville, VA 20180-8619

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X001672 (WV)

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 1790043974

Kathleen M. Moore, PTA's National Provider Identifier is 1790043974, issued on Apr 25, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Charles Town, WV. The record was last updated on Apr 25, 2012.