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

Jordan Michael Moe, CTRS

Individual provider Recreation Therapist · NPI 1477446391

Jordan Michael Moe, CTRS is a Recreation Therapist in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3754 W Indian Trail Rd
Spokane, WA 99208-4736
Phone: (509) 559-3100
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG70012130 (WA)
Recreation Therapist Taxonomy 225800000X

Record details

NPI number1477446391
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorNo
NPI enumeratedMay 30, 2025
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

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