Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACEN MOORE, ATC
Active Sole ProprietorJACEN MOORE, ATC is a Athletic Trainer healthcare provider located in GILBERT, Arizona. NPI 1962910158 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GILBERT, AZ
Registration Details
- NPI Number
- 1962910158
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2018 (8.5622722048945 yrs)
- Last Updated
- Jan 22, 2018
- License
-
1534 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1166 E WARNER RD STE 101GILBERT, AZ, 852963065Browse AZ providers · Browse ZIP 85296
- Phone
- 4804154214
- Fax
- 4804154214
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GILBERT, AZ
| Name | Credential | NPI |
|---|---|---|
| JOE LOPEZ | ATC | 1790773125 |
| MRS. KRISTIN MICHELLE GOLDEN | ATC, LAT | 1760454383 |
| MR. GEOFFREY DAVID HOSTETTER | A.T.C. | 1154385128 |
| MR. JOHN T. PARSONS | MS, ATC | 1932115896 |
| PROF. SUSAN KAY HILLMAN | ATC, PT | 1598807562 |
| DONALD MARK RACKEY | ATC | 1922260603 |
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.