Rhonda Penelope Moore, LPTA
Individual provider Active NPI Physical Therapy Assistant · Waynesboro, TN
NPI 1891967592 · NPPES record last updated Apr 2, 2008
Key facts
- NPI
- 1891967592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2657 (TN)
- Practice address
- 103 JV Mangubat Dr
Waynesboro, TN 38485-2440 - Phone
- (931) 722-2041
- Fax
- (931) 722-2040
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2657 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2657 | TN | Yes |
Addresses
Primary practice location
103 JV Mangubat Dr
Waynesboro, TN 38485-2440
Mailing address
103 JV Mangubat Dr
Waynesboro, TN 38485-2440
Phone (931) 722-2041
Other providers in Waynesboro, TN
- Maury Regional Hospital
- Pamela Jean May
- Medi-Serv. Inc.
- Kelsey L Mercer
- Cayley Jae Merriman
- Khearra Mosley
- MRH Dba WMC
- Joseph C. Murphy
- Ashley Danielle Musselwhite
- Donald Gabriel Polk
All providers in Waynesboro, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2008. 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.