Individual ProviderJustin Joseph MoaklerStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressOhio University Athens Training Facility, Grover Center E 187, Athens, OH 45701(740) 593-9497(513) 884-2735PECOS EnrollmentBased on the most recent information from CMS, provider Justin Joseph Moakler does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1831746882Provider TypeIndividualFull NameMoakler, Justin JosephTitleMr.GenderMaleSole ProprietorNoEnumeration Date8/23/2019Last Updated8/23/2019Contact InformationPractice LocationPractice AddressOhio University Athens Training Facility, Grover Center E 187, Athens, OH 45701Phone(740) 593-9497FaxUnlisted FaxMailing LocationMailing Address186 Mill Street, Athens, OH 45701Phone(513) 884-2735FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer