Search › Illinois › 225100000X
Jesse Moore, DPT, MBA
NPI 1043555410 · on the registry since 2012
Practice
- Address
- 3008 Huntsville Dr
Glen Carbon, IL 62034 - Phone
- (317) 691-6262
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois