Individual provider · Type 1 NPI

Lakesha Marion Moore

Physical Therapy Assistant · Milwaukee, WI

NPI number 1912460403 Active

Practice location

6735 W Bradley Rd
Milwaukee, WI 53223-3325

Call (414) 362-0847 Map

Fax (414) 371-2390

Mailing address

S36W30435 Saint Davids Dr
Waukesha, WI 53189-9287

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2886-19 (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 1912460403

Lakesha Marion Moore's National Provider Identifier is 1912460403, issued on Apr 10, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Milwaukee, WI. The record was last updated on Apr 10, 2019.