MRS. Jennifer Renee Moore, ATC, LMT
NPI #1639106420 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1639106420
- Entity Type
- Individual
- Name
- MRS. Jennifer Renee Moore, ATC, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LMT
- Enumeration Date
- Jun 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 209 E PENNSYLVANIA AVE
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-3435
- Phone
- (217) 243-3926
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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