Stacy Renee Moore, A.T.C.
Athletic Trainer · Harrah, OK
Practice location
20370 Elm StHarrah, OK 73045-9110
- Phone
- (405) 347-2109
- Fax
- (405) 454-6842
NPI record
- NPI
- 1205956430
- Entity type
- Individual (Type 1)
- Enumeration date
- March 30, 2007
- Last updated
- August 15, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
427 | OK |
Mailing address
5670 Henney PlChoctaw, OK 73020-9134
- Phone
- (405) 990-1199
About Stacy Moore
Stacy Renee Moore, A.T.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 20370 Elm St, Harrah, OK 73045-9110. The NPI number 1205956430 was assigned on March 30, 2007 and the record was last updated on August 15, 2014.
Stacy Moore lists a license in the registry: #427 (OK) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Stacy Renee Moore, A.T.C.?
The NPI number is 1205956430.
What is the phone number of Stacy Moore?
The phone number listed for the practice location is (405) 347-2109.
Where is Stacy Moore located?
20370 Elm St, Harrah, OK 73045-9110.
What is the taxonomy code for Stacy Moore?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Harrah
- Geoffrey Hargis, ATC/L19629 NE 23rd St