KIMBERLY MOORE LAT
NPI 1477301604
Specialist/Technologist - Athletic Trainer in Green Bay, WI

Q: What is Kimberly Moore's NPI number?

The NPI number for Kimberly Moore is 1477301604. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Kimberly Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Moore was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 13, 2024

1970 S RIDGE RD, GREEN BAY, WI 54304(920) 430-4888 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Moore Lat NPPES

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

KIMBERLY MOORE LAT (NPI 1477301604) is an individual athletic trainer provider in Green Bay, Wisconsin, licensed in Wisconsin (3155-39) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1477301604

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameKIMBERLY MOORECredential: LAT

Location Address1970 S RIDGE RDGreen Bay, WI 54304-4125

Mailing Address310 Madison Way Apt 5Shawano, WI 54166-3872 · (210) 379-0999

Phone(920) 430-4888

Sole ProprietorYes

Enumeration DateMay 13, 2024

NPPES CertifiedMay 12, 2024

✔ NPI 1477301604 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 WI · 3155-39

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.

1970 S RIDGE RD, Green Bay, WI 54304

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTA M SOLAREK PA-C

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