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

Benjamin R Moore, PT

Individual provider Physical Therapist · NPI 1033240981

Benjamin R Moore, PT is a Physical Therapist in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2007.

Licensed in
WY
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

555 E Broadway Ste 100
Jackson, WY 83001
Phone: (307) 739-7491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1189 (WY)

Record details

NPI number1033240981
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address8259 Wicker Ave, Saint John, IN 46373-8878

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