Search › Tennessee › 2255A2300X
Jerica Moore, MA, ATC
NPI 1174014450 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1041 Hamiltion Place Dr.
Johnson City, TN 37604 - Phone
- (423) 707-2509
Additional practice sites
- 3314 Wayfield Dr Ste 3, Johnson City, TN
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee