IndividualActive
Amro Moadi, PT
NPI 1407406176 · Physical Therapist · La Grange, KY
Provider details
- NPI number
- 1407406176
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 12543 (TN)
Practice location
4603 Timberwalk Ct
La Grange, KY 40031-6746
Phone: (703) 864-6695
Fax: (888) 830-3233
Mailing address
7002 E Arbor Trace Ln Apt 1103
Knoxville, TN 37909-3038
Registry dates
- Enumerated
- 2019-09-16
- Last updated
- 2020-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.