MS. STACY RENEE MOORE A.T.C.
NPI 1205956430
Specialist/Technologist - Athletic Trainer in Harrah, OK

Active since March 30, 2007
20370 ELM ST, HARRAH, OK 73045(405) 347-2109(405) 454-6842 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Stacy Renee Moore A.t.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STACY RENEE MOORE A.T.C. (NPI 1205956430) is an individual athletic trainer provider in Harrah, Oklahoma, licensed in Oklahoma (427) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1205956430
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMS. STACY RENEE MOORECredential: A.T.C.
Location Address20370 ELM STHarrah, OK 73045-9110
Mailing Address5670 Henney PlChoctaw, OK 73020-9134 · (405) 990-1199
Fax(405) 454-6842
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateAugust 15, 2014
NPI 1205956430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License Licensed in OK · 427
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
20370 ELM ST, Harrah, OK 73045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Moore's NPI number?

The NPI number for Stacy Moore is 1205956430. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Stacy Moore located?

Stacy Moore practices at 20370 Elm St, Harrah, OK 73045. The listed phone number is (405) 347-2109.

What is Stacy Moore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Stacy Moore was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.