Jack Evans Loer in Albuquerque - Massage Therapist
Jack Evans Loer - NPI 1700073319
Jack Evans Loer is a Massage Therapist in Albuquerque, New Mexico. Jack Evans Loer practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jack Evans Loer is 1700073319. The last update date is 2007-09-27.
Jack Evans Loer's current location address is 9811 Desert Mountain Rd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5058283448. The mailing address for Jack Evans Loer is 9811 Desert Mountain Rd Ne, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Evans Loer |
|---|---|
| Address | 9811 Desert Mountain Rd Ne, Albuquerque, New Mexico |
| Phone Number | 5058283448 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1700073319 |
|---|---|
| Provider Enumeration Date | 2007-09-27 |
| Last Updated Date | 2007-09-27 |
Provider Mailing Address Detail
| Address | 9811 Desert Mountain Rd Ne |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871223927 |
| Phone Number | 5058283448 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 5579 |
|
Definition: 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5579 | NM | LMT LICENSE NUMBER |
Post Comment/ Review Below
What is the Jack Evans Loer's unique identification number?
The Jack Evans Loer has been assigned the NPI (National Provider Identifier) Number 1700073319 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jack Evans Loer is physically located?
The Jack Evans Loer is physically situated at the following address: 9811 Desert Mountain Rd Ne, Albuquerque, NM, 871223927.
What is the area of specialization for Jack Evans Loer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack Evans Loer is Massage Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225700000X.
When was the Jack Evans Loer's 1700073319 issued?
The Jack Evans Loer's 1700073319 was issued on 2007-09-27.
As of what date were the details pertaining to Jack Evans Loer last refreshed?
The information related to the Jack Evans Loer, including its address, specialty, and other relevant details, was last updated on 2007-09-27.
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