Individual provider · Type 1 NPI

Jamie Lyn Moore, LMT

Massage Therapist · Peoria, IL

NPI number 1770988743 Active

Practice location

2208 W Willow Knolls Rd.
Peoria, IL 61614-1467

Call (309) 693-9600 Map

Fax (309) 693-3616

Mailing address

2208 W Willow Knolls Rd
Peoria, IL 61614-1467

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227010603 (IL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1770988743

Jamie Lyn Moore, LMT's National Provider Identifier is 1770988743, issued on Nov 3, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Peoria, IL. The record was last updated on Nov 3, 2014.