Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MOORE, ATC LAT
ActiveJACOB MOORE, ATC LAT is a Athletic Trainer healthcare provider located in GREENVILLE, North Carolina. NPI 1821512179 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GREENVILLE, NC
Registration Details
- NPI Number
- 1821512179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2017 (9.0597208537513 yrs)
- Last Updated
- Jul 28, 2017
- License
-
1166 (NC)
Practice Information
- Address
-
116 WARD SPORTS MEDICINE BUILDINGGREENVILLE, NC, 27858Browse NC providers · Browse ZIP 27858
- Phone
- 2527372634
- Fax
- 2527371393
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GREENVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL JAMES HANLEY | ATC | 1427085380 |
| MS. KATIE M WALSH | EDD, ATC, LAT | 1851512867 |
| MRS. SUSANNE GRANER RAEDEKE | ATC | 1356563852 |
| MR. SCOTT MATTHEW BARRINGER | LAT, ATC | 1184949679 |
| LUCY SHAW | LAT, ATC | 1144545641 |
| MR. ZACHARY JOSEPH WOMACK | ATC, LAT | 1134540792 |
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.