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

MS. Stacy Renee Moore, ATC

Individual provider Athletic Trainer · NPI 1205956430

MS. Stacy Renee Moore, ATC is an Athletic Trainer in Harrah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

20370 Elm St
Harrah, OK 73045-9110
Phone: (405) 347-2109
Fax: (405) 454-6842
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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 427 (OK)

Record details

NPI number1205956430
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 15, 2014

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