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Stacy Moore, A.T.C
NPI 1205956430 · on the registry since 2007
Practice
- Address
- 20370 Elm St
Harrah, OK 73045 - Phone
- (405) 347-2109
- Fax
- (405) 454-6842
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-15
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 Oklahoma