Mishako M. Moore, OT

Occupational Therapist · Poplarville, MS

Individual Active NPI

NPI number 1528673043

Practice location

9 Balmoral Dr Ste a
Poplarville, MS 39470-3344
Phone
(601) 746-5101
Fax
(601) 746-5102

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NPI record

NPI
1528673043
Entity type
Individual (Type 1)
Enumeration date
September 11, 2020
Last updated
September 11, 2020
Certified
September 11, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X OT-3782 MS

Mailing address

PO Box 956
Poplarville, MS 39470-0956
Phone
(601) 746-5101
Fax
(601) 746-5102

About Mishako Moore

Mishako M. Moore, OT is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 9 Balmoral Dr Ste a, Poplarville, MS 39470-3344. The NPI number 1528673043 was assigned on September 11, 2020 and the record was last updated on September 11, 2020.

Mishako Moore lists a license in the registry: #OT-3782 (MS) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mishako M. Moore, OT?

The NPI number is 1528673043.

What is the phone number of Mishako Moore?

The phone number listed for the practice location is (601) 746-5101.

Where is Mishako Moore located?

9 Balmoral Dr Ste a, Poplarville, MS 39470-3344.

What is the taxonomy code for Mishako Moore?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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