Active NPIIndividual provider

Elizabeth C Moore, ATC

Specialist/Technologist, Athletic Trainer in Manchester Center, Vermont

NPI Number1619317872
Practice location
94 Elm St, Manchester Center, VT 05255-9642
Fax
—
Last updated
November 8, 2026

Elizabeth Cuddy Moore is a Specialist/Technologist, Athletic Trainer based in Manchester Center, VT. Elizabeth Cuddy Moore practices in Manchester Center, VT and has the professional credentials of ATC. The NPI Number for Elizabeth Cuddy Moore is 1619317872 and holds a License No. 104.0096672 (VT). The current practice location address for Elizabeth Cuddy Moore is 94 Elm St, Manchester Center, VT 05255-9642 and can be reached out via phone at 802-774-8357.

Provider Profile Details

NPI Number
1619317872
Provider Name
Elizabeth Cuddy Moore
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
94 Elm St, Manchester Center, VT 05255-9642
Phone Number
802-774-8357
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
July 2, 2013
Last Update Date
November 8, 2026
Certification Date
November 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
94 Elm St
Manchester Center, VT 05255-9642
State
Vermont
Zip
05255-9642
Phone Number
802-774-8357
Manchester Center, VT 05255Get directions →

Provider Business Mailing Address Details

Address
94 Elm St
Manchester Center, VT 05255-9642
City
Manchester Center
State
VT
Zip
05255-9642
Phone Number
802-774-8357

License Information

License Number
104.0096672
License State
VT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth C Moore, ATC?

The NPI number of Elizabeth C Moore, ATC is 1619317872. It was assigned on July 2, 2013 and is currently active in the NPPES registry.

What is the specialty of Elizabeth C Moore, ATC?

Elizabeth C Moore, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 104.0096672.

Where does Elizabeth C Moore, ATC practice?

The practice location is 94 Elm St, Manchester Center, VT 05255-9642. The office can be reached at 802-774-8357 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619317872 directly on the NPPES registry website.

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