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

Mr. Robert Moore, MS-ATC

Individual provider Athletic Trainer · NPI 1083091201

Mr. Robert Moore, MS-ATC is an Athletic Trainer in Clinton, Maryland. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

11600 Mary Catherine Dr
Clinton, MD 20735-1040
Phone: (301) 292-6533
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1083091201
Entity typeIndividual (Type 1)
GenderMale
Credentials MS-ATC
Sole proprietorNo
NPI enumeratedApril 27, 2015
Last updated in NPPESApril 27, 2015
Mailing address11600 Mary Catherine Dr, Clinton, MD 20735-1040

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