| Trent Moore, DPT | |
|
1227 E 32nd St, Ste 7, Joplin, MO 64804-2880 | |
| (417) 624-7400 | |
| (417) 624-7403 |
| Full Name | Trent Moore |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1227 E 32nd St, Joplin, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093127441 | NPI | - | NPPES |
| MA4370081 | Other | MO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2014019063 (Missouri) | Primary |
| 225100000X | Physical Therapist | PT 3851 (Arkansas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Moore, DPT 8823 Production Ln, Ooltewah, TN 37363-6511 Ph: (816) 226-4011 | Trent Moore, DPT 1227 E 32nd St, Ste 7, Joplin, MO 64804-2880 Ph: (417) 624-7400 |
Ms. Marie Shireman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 Mc Clelland Blvd, Joplin, MO 64804 Phone: 417-781-2727 | |
Ma. Estela Lopez Ortaleza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 E 34th St, Joplin, MO 64804 Phone: 417-781-1737 | |
Mr. Jimmie Joe Wilson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2727 Mc Clelland Blvd, Joplin, MO 64804 Phone: 417-625-2190 Fax: 417-625-2097 | |
Mr. Emmanuel Fernandez, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 W 5th St, Suite D & E, Joplin, MO 64801 Phone: 417-782-2917 | |
Mr. William Ellerd Dierks, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Mc Clelland Blvd, Suite 101, Joplin, MO 64804 Phone: 417-623-5560 Fax: 417-634-5740 | |
Stacy Michelle Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E 32nd St Ste 7, Joplin, MO 64804 Phone: 417-624-7400 Fax: 417-624-7403 |