Individual
JASON MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1081 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220-2034
(317) 808-0350
(317) 808-0349
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06004555A
IN
2255A2300X
Athletic Trainer
Primary
36001400A
IN
Other
Enumeration date
10/11/2017
Last updated
12/04/2025
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