IndividualActive
Shellie Moore
NPI 1386125870 · Recreational Therapist Assistant · Homosassa, FL
Provider details
- NPI number
- 1386125870
- Entity type
- Individual
- Primary specialty
- Recreational Therapist AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 211075 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone: (403) 348-9919
Approximate (ZIP-level) locationGet directions
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Registry dates
- Enumerated
- 2018-08-23
- Last updated
- 2018-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.