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Christopher Moore, LAT, ATC
NPI 1316595432 · on the registry since 2019
Practice
- Address
- 610 W 4th St
Storm Lake, IA 50588 - Phone
- (712) 749-2254
- Clinicians at this address
- 3
Additional practice sites
- 402 E College St, Bridgewater, VA
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- VA, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-02
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 Iowa