NPI 1225051469
Kelli Michelle Moore, CTRS
Practice location
- Address
- 1 Freedom Way Recreation Therapy (294), Augusta, GA 30904-6258
- Phone
- (706) 733-0188
- Mailing address
- 1702 Watson Bailey Rd, Harlem, GA 30814-3910
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1225051469
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jul 2006
- Record last updated
- 10 Jul 2007
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.