IndividualActive
Jessica Moore, ATC
NPI 1508123159 · Athletic Trainer · Colchester, VT
Provider details
- NPI number
- 1508123159
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 104.0000089 (VT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
Saint Michaels College
One Winooski Park, Box 258
Colchester, VT 05439-0001
Phone: (802) 345-0263
Approximate (ZIP-level) locationGet directions
Mailing address
253 Bay Rd
Shelburne, VT 05482-7754
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2012-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.