NPI 1023402278

Annie Lee Moore

Practitioner Athletic Trainer Ames, IA

Practice location

Address: 4611 Mortensen Rd APT 310, Ames, IA 50014-6227
Phone: (641) 895-9929

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1023402278
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2015
Record last updated: 26 Mar 2015

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.