Keri H Moore
Physical Therapist - Neurology
5411 I 55 N
Jackson
, Mississippi 39206-3616
Keri H Moore
Physical Therapist - Neurology
5411 I 55 N
Jackson
, Mississippi 39206-3616
(601) 954-1544
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About
Features
Specialties
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Keri H Moore
- 118 Jordan Dr
- Brandon, MS
- Zip : 39047-4536
- Phone : (601) 954-1544
Second Address
- Keri H Moore
- 5411 I 55 N
- Jackson, MS
- Zip : 39206-3616
- Phone : (769) 216-3288
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251N0400X | Physical Therapist - Neurology | PT4745 | MS |
National Provider Identifier
| NPI | 1245765122 |
|---|---|
| Provider Name | Keri H Moore |
| First Address | Brandon, MS 39047-4536 |
| Second Address | Jackson, MS 39206-3616 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2017 |
| Last Update Date | 27/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.