Jason Moore
Jason Moore is an Athletic Trainer in Fort Worth, Texas. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5701 Shelton StFort Worth, TX 76112-3929
Phone: (817) 815-4086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1467198895 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 9, 2022 |
| Last updated in NPPES | May 9, 2022 |
| Certification date | May 9, 2022 |
| Mailing address | 1612 Milledge Rd, Fort Worth, TX 76120-1800 |
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