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

Jason Wayne Moore, LAT/ATC

Individual provider Athletic Trainer · NPI 1740511716

Jason Wayne Moore, LAT/ATC is an Athletic Trainer in Jackson, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010

Practice location Address checks out

315 S Missouri St
Jackson, MO 63755-2000
Phone: (573) 837-5960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2009029675 (MO)

Record details

NPI number1740511716
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT/ATC
Sole proprietorNo
NPI enumeratedJanuary 14, 2010
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024

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