NPI
Wacey James Mooney
NPI 1154833218
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MHSc, ATC, LAT
- Type
- Individual
- Enumeration date
- 2017-10-30
- Last updated
- 2017-10-30
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Specialties
Licenses
- License IN
- 36002897A
Location
- Practice location
- 2200 173rd St
- City
- Hammond IN
- Postal code
- 46323-2074
- Phone
- (219) 989-3175
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Specialist/Technologist, Athletic Trainer providers in Hammond, IN. 7 with this primary taxonomy in the public file.
Other NPIs in Hammond, IN. 639 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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