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

Shelby Lauren Moore, PTA

Individual provider Physical Therapy Assistant · NPI 1518365915

Shelby Lauren Moore, PTA is a Physical Therapy Assistant in Mount Vernon, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
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

334 E Mount Vernon Blvd
Mount Vernon, MO 65712-2024
Phone: (417) 423-7410
Fax: (417) 423-7411
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 2014042706 (MO)

Record details

NPI number1518365915
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 17, 2014
Last updated in NPPESDecember 17, 2014

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