NPI 1033240981

Benjamin R Moore, PT

Practitioner Physical Therapist Jackson, WY

Practice location

Address: 555 East Broadway Suite 100, Jackson, WY 83001
Phone: (307) 739-7491
Mailing address: 8259 Wicker Ave, Saint John, IN 46373-8878

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1189 (WY)

Other Physical Therapist providers in Wyoming →

Registry record

NPI: 1033240981
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.