Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Courtney L Moeller, PA-C, ATC

Individual provider Athletic Trainer · NPI 1629531223

Courtney L Moeller, PA-C, ATC is an Athletic Trainer in Edgewood, Kentucky. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

560 S Loop Rd
Edgewood, KY 41017-3405
Phone: (859) 301-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Athletic Trainer Taxonomy 2255A2300X · Licence AT005336 (OH)

Record details

NPI number1629531223
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

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