NPI 1114176047
Tessa Michele Moody, PT
Practice location
- Address
- 300 W Collin Raye Dr Spc 106, De Queen, AR 71832-2007
- Phone
- (870) 584-1085
- Fax
- (870) 584-1095
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1114176047
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Sep 2008
- Record last updated
- 16 Aug 2021
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.