IndividualActive
Craig Moorhouse, ATC
NPI 1114912904 · Specialist · Gray, TN
Provider details
- NPI number
- 1114912904
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 394 (TN)
Specialties & taxonomies
Other Service Providers
Practice location
1440 Suncrest Dr
Gray, TN 37615-4118
Phone: (423) 477-1600
Approximate (ZIP-level) locationGet directions
Mailing address
220 Alfalfa Ln
Jonesborough, TN 37659-3175
Registry dates
- Enumerated
- 2005-09-16
- Last updated
- 2016-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.