Jennifer Lynn Moore in Minnetonka - Physical Therapist
Jennifer Lynn Moore - NPI 1417002866
Jennifer Lynn Moore is a Physical Therapist in Minnetonka, Minnesota. Jennifer Lynn Moore practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jennifer Lynn Moore is 1417002866. The last update date is 2007-07-08.
Jennifer Lynn Moore's current location address is 15000 Minnetonka Blvd, Minnetonka, Minnesota. You can contact this provider via phone number 9529354037. The mailing address for Jennifer Lynn Moore is 15000 Minnetonka Blvd, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lynn Moore |
|---|---|
| Address | 15000 Minnetonka Blvd, Minnetonka, Minnesota |
| Phone Number | 9529354037 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1417002866 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15000 Minnetonka Blvd |
|---|---|
| City | Minnetonka |
| State | Minnesota (MN) |
| Post Code | 553451506 |
| Phone Number | 9529354037 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2868 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25557MO | MN | BLUE CROSS INDIVIDUAL ID | |
| 1024610 | MN | PREFFERED 1 GROUP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jennifer Lynn Moore by the Centers for Medicare & Medicaid Services?
The Jennifer Lynn Moore has been issued the NPI (National Provider Identifier) 1417002866, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jennifer Lynn Moore's facilities are situated?
The facilities of Jennifer Lynn Moore are physically located at the following address: 15000 Minnetonka Blvd, Minnetonka, MN, 553451506.
What is Jennifer Lynn Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jennifer Lynn Moore is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417002866 to Jennifer Lynn Moore?
The Jennifer Lynn Moore received its 1417002866 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
As of what date were the details pertaining to Jennifer Lynn Moore last refreshed?
The information related to the Jennifer Lynn Moore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.