IndividualActive
Jeanette Moore, LMT
NPI 1629527478 · Contractor · Albuquerque, NM
Provider details
- NPI number
- 1629527478
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8528 (NM)
Specialties & taxonomies
Other Service Providers
Practice location
7408 Estes Park Ave Nw
Albuquerque, NM 87114-3944
Phone: (505) 917-2546
Approximate (ZIP-level) locationGet directions
Mailing address
7408 Estes Park Ave Nw
Albuquerque, NM 87114-3944
Registry dates
- Enumerated
- 2016-09-21
- Last updated
- 2016-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.