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Mikayla Moore, MAT, ATC
NPI 1669820130 · on the registry since 2016 · sole proprietor
Practice
- Address
- 14701 Copper Ridge Blvd
Tyler, TX 75706 - Phone
- (903) 714-3515
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-25
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 Texas