Search › Ohio › 175T00000X
Jonathan Moore, PRS
NPI 1558116087 · on the registry since 2024 · sole proprietor
Practice
- Address
- 865 S Patterson Blvd
Dayton, OH 45402 - Phone
- (937) 966-4673
- Clinicians at this address
- 196
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 171M00000X
106S00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-15
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 Ohio