IndividualActive
Kellee Moore
NPI 1598533804 · Physical Therapy Assistant · Thomas, OK
Provider details
- NPI number
- 1598533804
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3117 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
118 E Broadway Ave
Thomas, OK 73669-8321
Phone: (580) 661-3517
Fax: (580) 661-3528
Approximate (ZIP-level) locationGet directions
Mailing address
118 E Broadway Ave
Thomas, OK 73669-8321
Registry dates
- Enumerated
- 2023-12-15
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.