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

Kathleen M Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1790043974

Kathleen M Moore, PTA is a Physical Therapy Assistant in Charles Town, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

50 Mulberry Tree St
Charles Town, WV 25414-1274
Phone: (304) 724-1101
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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 001672 (WV)

Record details

NPI number1790043974
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 25, 2012
Last updated in NPPESApril 25, 2012

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