Dane Ellis Moore, ATC, LAT
Dane Ellis Moore, ATC, LAT is an Athletic Trainer in Wooster, Ohio. Licensed in Ohio. Registered with an NPI since 2023.
- Licensed in
- OH
- In the registry since
- 2023
What do these letters mean?
Practice location Address checks out
1189 Beall AveWooster, OH 44691-2363
Phone: (608) 548-4335
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT006891 (OH) |
|---|
Record details
| NPI number | 1528841897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATC , LAT |
| Sole proprietor | No |
| NPI enumerated | August 18, 2023 |
| Last updated in NPPES | August 18, 2023 |
| Certification date | August 18, 2023 |
| Mailing address | 1905 Portage Rd Apt 324, Wooster, OH 44691-1967 |
Other providers in Wooster
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Mr. Nathan Huston, MS, ATC
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Mr. Tommy Love
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Andrew M Nicholson, MS, ATC
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Mrs. Lisa M Yeagley, ATC
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