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

Mishako M Moore, OT

Individual provider Occupational Therapist · NPI 1528673043

Mishako M Moore, OT is an Occupational Therapist in Poplarville, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

9 Balmoral Dr Ste A
Poplarville, MS 39470-3344
Phone: (601) 746-5101
Fax: (601) 746-5102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-3782 (MS)

Record details

NPI number1528673043
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorYes
NPI enumeratedSeptember 11, 2020
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020
Mailing addressPo Box 956, Poplarville, MS 39470-0956

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