Dane Ellis Moore, ATC, LAT
Athletic Trainer · Wooster, OH
Practice location
1189 Beall AveWooster, OH 44691-2363
- Phone
- (608) 548-4335
NPI record
- NPI
- 1528841897
- Entity type
- Individual (Type 1)
- Enumeration date
- August 18, 2023
- Last updated
- August 18, 2023
- Certified
- August 18, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
AT006891 | OH |
Mailing address
1905 Portage Rd Apt 324Wooster, OH 44691-1967
About Dane Moore
Dane Ellis Moore, ATC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1189 Beall Ave, Wooster, OH 44691-2363. The NPI number 1528841897 was assigned on August 18, 2023 and the record was last updated on August 18, 2023.
Dane Moore lists a license in the registry: #AT006891 (OH) 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 Dane Ellis Moore, ATC, LAT?
The NPI number is 1528841897.
What is the phone number of Dane Moore?
The phone number listed for the practice location is (608) 548-4335.
Where is Dane Moore located?
1189 Beall Ave, Wooster, OH 44691-2363.
What is the taxonomy code for Dane 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.
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