Individual
JASON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6960 E BROADWAY RD, MESA, AZ 85208-1916
(480) 807-9000
Mailing address
6960 E BROADWAY RD, MESA, AZ 85208-1916
(480) 807-9000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32240
AZ
Other
Enumeration date
03/03/2022
Last updated
06/04/2025
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