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Jacob Moore
NPI 1568342699 · on the registry since 2025
Practice
- Address
- 4625 S Emerson Ave Ste D
Indianapolis, IN 46203 - Phone
- (317) 677-0202
- Organisation at this address
- Bacsa Dental Pc
Health1st Of Indy South
Kids & Adult Dental Care Inc
Emerson Physical Medicine Inc
Indy Pain & Injury Centers LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-08
- Status
- Not present in the most recent federal file
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 Indiana