| Kendall Moore, PT | |
|
384 Sw Johnson Ave Ste A1, Burleson, TX 76028-5360 | |
| (817) 483-1746 | |
| (817) 483-5874 |
| Full Name | Kendall Moore |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 384 Sw Johnson Ave Ste A1, Burleson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154097749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1351420 (Texas) | Primary |
| Provider Name | Blacketer Enterprises, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1295046050 PECOS PAC ID: 4981884905 Enrollment ID: O20110209000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Moore, PT 6033 W I 20, Arlington, TX 76017-1042 Ph: (817) 483-1746 | Kendall Moore, PT 384 Sw Johnson Ave Ste A1, Burleson, TX 76028-5360 Ph: (817) 483-1746 |
Physio Group, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 Sheryn Dr, Burleson, TX 76028 Phone: 682-702-2562 | |
Madison Spurlock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 437 Sw Wilshire Blvd Ste B, Burleson, TX 76028 Phone: 817-916-0878 Fax: 817-916-0879 | |
Crossroads Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12550 South Fwy Ste 106, Burleson, TX 76028 Phone: 817-426-4401 Fax: 817-426-4410 | |
Winona Ross, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 437 Sw Wilshire Blvd Ste B, Burleson, TX 76028 Phone: 817-916-0878 Fax: 817-916-0879 | |
Miss Kristin E North, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Ne Johnson Ave, Suite 100, Burleson, TX 76028 Phone: 817-447-2323 Fax: 817-447-3311 | |
Charles C Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12770 South Fwy, Suite 144, Burleson, TX 76028 Phone: 817-426-4401 Fax: 817-426-4410 | |
Dr. Ashish Mesepam, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 Sheryn Dr, Burleson, TX 76028 Phone: 682-702-2562 |