IndividualActive
Adam Moore, MPT
NPI 1952417537 · Physical Therapist · Canton, MS
Provider details
- NPI number
- 1952417537
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT4075 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
276 Nissan Parkway
Suite 400, Bldg. F
Canton, MS 39046-7006
Phone: (601) 859-3776
Fax: (601) 859-3778
Approximate (ZIP-level) locationGet directions
Mailing address
199 Brookmoore Drive
Columbus, MS 39705
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2017-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.