NPI 1386125870
Shellie Renee Moore
Practice location
- Address
- 8477 S Suncoast Blvd, Homosassa, FL 34446-5028
- Phone
- (403) 348-9919
Registered specialties
Recreational Therapist Assistant
Primary
Registry record
- NPI
- 1386125870
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Aug 2018
- Record last updated
- 23 Aug 2018
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.