SearchIllinois2255A2300X

Jennifer Moore, ATC, LMT

NPI 1639106420 · on the registry since 2006

Practice

Address
209 E Pennsylvania Ave
Jacksonville, IL 62650
Phone
(217) 243-3926

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois