Casey Moore
Physical Therapy Assistant · Normal, IL
Practice location
509 N Adelaide StNormal, IL 61761-2422
- Phone
- (309) 451-0393
NPI record
- NPI
- 1225447246
- Entity type
- Individual (Type 1)
- Enumeration date
- August 4, 2014
- Last updated
- August 4, 2014
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
160.005502 | IL |
Mailing address
25168 N 2200 East RdLexington, IL 61753-7517
About Casey Moore
Casey Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 509 N Adelaide St, Normal, IL 61761-2422. The NPI number 1225447246 was assigned on August 4, 2014 and the record was last updated on August 4, 2014.
Casey Moore lists a license in the registry: #160.005502 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Casey Moore?
The NPI number is 1225447246.
What is the phone number of Casey Moore?
The phone number listed for the practice location is (309) 451-0393.
Where is Casey Moore located?
509 N Adelaide St, Normal, IL 61761-2422.
What is the taxonomy code for Casey Moore?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
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.
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- Cody Harms, PTA211 Landmark Dr Ste E3