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

Individual provider Physical Therapy Assistant · NPI 1679939698

Kaitlyn Moore is a Physical Therapy Assistant in Ravenna, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016
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Practice location Address checks out

6831 N Chestnut St
Ravenna, OH 44266-3929
Phone: (330) 297-4564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA011221 (OH)

Record details

NPI number1679939698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 6, 2016
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing address4843 Kelly Ave, Rootstown, OH 44272-9286

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