Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Susan Renee Moore, ATC, MS, LAT

Individual provider Specialist · NPI 1881903896

Miss. Susan Renee Moore, ATC, MS, LAT is a Specialist in Wesson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2010
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

9030 Monticello Rd
Wesson, MS 39191-9027
Phone: (601) 668-2932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence AT0476 (MS)

Record details

NPI number1881903896
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , MS , LAT
Sole proprietorYes
NPI enumeratedSeptember 26, 2010
Last updated in NPPESSeptember 26, 2010