IndividualActive
Brandon Moore
NPI 1649877507 · Athletic Trainer · Crestview Hills, KY
Provider details
- NPI number
- 1649877507
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- TCA906 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
333 Thomas More Pkwy
Crestview Hills, KY 41017-3428
Phone: (858) 341-5800
Approximate (ZIP-level) locationGet directions
Mailing address
333 Thomas More Pkwy
Crestview Hills, KY 41017-3428
Registry dates
- Enumerated
- 2020-10-05
- Last updated
- 2020-10-05
- Certified
- 2020-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.