Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN R MOORE, PT

Active

Physical Therapy Assistant · JACKSON, WY

Registration Details

NPI Number: 1033240981
Provider Type: Individual
Gender: Male
NPI Issued: Mar 9, 2007 (19.130963759814 yrs)
Last Updated: Jul 8, 2007
License: 1189 (WY)

Practice Information

Address: 555 EAST BROADWAY

SUITE 100

JACKSON, WY, 83001
Browse WY providers · Browse ZIP 83001
Phone: 3077397491
Primary Specialty: Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in JACKSON, WY

Name	Credential	NPI
MARK SCHULTHEIS	P.T., S.C.S.C.	1427034180
JANE M MACKAY	P.T.	1851344121
MARIA E LOFGREN	P.T.	1285680041
LAURA LEE SIMMONS	P.T.	1528014768
FRANCINE P BARTLETT	P.T., A.T.C.	1063468270
MS. VIRGINIA N CHRISTENSEN	PT, DSC, OCS	1992888416

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.