| Doctor Name: | MR. JASON WAYNE MOORE |
| NPI Number: | 1790826675 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | PT9304 |
| Business Practice Address: | 2021 Columbus Ave Washington Court House, OH - 431609094 |
| Business Phone Number: | 7403337848 |
| Business Fax Number: | 7403331212 |
| Mailing Address: | 2150 State Route 187, LONDON |
| State: | OH |
| Postal Code: | 431409625 |
| Phone Number: | 7408526926 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT9304 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |