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

Mr. Thaddeus L Moore Jr.

Individual provider Athletic Trainer · NPI 1265425839

Mr. Thaddeus L Moore Jr. is an Athletic Trainer in Chestertown, Maryland. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

300 Washington Ave
Chestertown, MD 21620-1438
Phone: (410) 778-7243
Fax: (410) 778-7741
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1265425839
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2005
Last updated in NPPESJuly 13, 2026
Mailing address924 Gateway Dr, Chestertown, MD 21620-3325

Other providers in Chestertown