NPI 1003612003

Andrew L. Moore, PTA

Practitioner Physical Therapy Assistant Blythewood, SC

Practice location

Address: 420-B McNulty Road P.O. Box 219, Blythewood, SC 29016-8926
Phone: (803) 728-0421

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 6817 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1003612003
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2025
Record last updated: 20 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.