Moore, Jamie Lyn

Moore, Jamie Lyn is an individual health care provider with primary practice located at 2208 W Willow Knolls Rd. , Peoria IL 61614-1467. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Moore, Jamie Lyn can be contacted via phone (309) 693-9600.

Contact Information

Primary practice address
2208 W Willow Knolls Rd. Peoria IL 61614-1467
Phone: (309) 693-9600
Fax: (309) 693-3616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227010603 Illinois

Profile Details

NPI number 1770988743
LBN Legal business name Moore, Jamie Lyn
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2014
Last updated Nov 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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