MISS SUSAN RENEE MOORE ATC, MS, LAT
NPI 1881903896
Specialist in Wesson, MS

Q: What is Susan Moore's NPI number?

The NPI number for Susan Moore is 1881903896. It was assigned to this individual provider in the NPPES registry on September 26, 2010.

Q: What is Susan Moore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Moore was last updated on September 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2010

9030 MONTICELLO RD, WESSON, MS 39191(601) 668-2932 Get Directions Write a Review

NPPES record last updated: September 26, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Susan Renee Moore Atc, Ms, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS SUSAN RENEE MOORE ATC, MS, LAT (NPI 1881903896) is an individual specialist in Wesson, Mississippi, licensed in Mississippi (AT0476) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1881903896

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMISS SUSAN RENEE MOORECredential: ATC, MS, LAT

Location Address9030 MONTICELLO RDWesson, MS 39191-9027

Mailing Address9030 Monticello RdWesson, MS 39191-9027 · (601) 668-2932

Phone(601) 668-2932

Sole ProprietorYes

Enumeration DateSeptember 26, 2010

✔ NPI 1881903896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MS · AT0476

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9030 MONTICELLO RD, Wesson, MS 39191

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Moore's NPI number?

The NPI number for Susan Moore is 1881903896. It was assigned to this individual provider in the NPPES registry on September 26, 2010.

Where is Susan Moore located?

Susan Moore practices at 9030 Monticello Rd, Wesson, MS 39191. The listed phone number is (601) 668-2932.

What is Susan Moore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Susan Moore was last updated on September 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.