Christopher Douglas Moran
Individual provider Active NPI Physical Therapist · Linden, TN
NPI 1578287926 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1578287926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6422 (TN)
- Practice address
- 857 Squirrel Hollow Dr
Linden, TN 37096-6479 - Phone
- (423) 622-1551
- NPI assigned
- Sep 29, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6422 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry County Board of Education | Current |
Accepting new patients |
Locations
857 Squirrel Hollow Dr
Linden, TN 37096
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6422 | TN | Yes |
Addresses
Primary practice location
857 Squirrel Hollow Dr
Linden, TN 37096-6479
Mailing address
PO Box 8114
Chattanooga, TN 37414-0114
Other providers in Linden, TN
- Kristy King
- Lexington Hospital Corporation
- Brandi J Mackin
- Emily McCaig
- Kristin Money
- Magnolia Pafford
- Elizabeth A Paschall
- Perry Community Hospital, LLC
- Perry Community Hospital, LLC
- Perry Community Hospital, LLC
All providers in Linden, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.