Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Moore

Individual provider Physical Therapy Assistant · NPI 1336008432

Grace Moore is a Physical Therapy Assistant in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2026.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

3360 Gateway Rd Ste 100
Brookfield, WI 53045-5115
Phone: (262) 923-7101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 4292-019 (WI)

Record details

NPI number1336008432
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address1304 Oriole Dr, Kaukauna, WI 54130-2672

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