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

Mr. Glen Moore Jr.

Individual provider Rehabilitation Practitioner · NPI 1801235668

Mr. Glen Moore Jr. is a Rehabilitation Practitioner in Las Vegas, Nevada. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

2625 S Durango Dr Apt 201
Las Vegas, NV 89117-2881
Phone: (313) 244-5112
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1801235668
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2013
Last updated in NPPESJune 14, 2013

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