DANE ELLIS MOORE

WOOSTER, OH
NPI1528841897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OH  AT006891)
Enumeration Date2023-08-18
Last Update Date2023-08-18
Business Address
DANE ELLIS MOORE ATC, LAT
1189 BEALL AVE
WOOSTER, OH 44691-2363
Phone number: 608-548-4335
Mailing Address
DANE ELLIS MOORE ATC, LAT
1905 PORTAGE RD APT 324
WOOSTER, OH 44691-1967
Phone number: