Jacqueline Adele Moore, MT Valid NPI

Individual provider · Massage Therapist · Elgin, IL

NPI

1952655466

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

227005797 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-11-06

Last updated

2012-11-06