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MRS. JENNIFER RENEE MOORE ATC, LMT
NPI 1639106420
Specialist/Technologist - Athletic Trainer in Jacksonville, IL

Active since June 27, 2006
209 E PENNSYLVANIA AVE, JACKSONVILLE, IL 62650(217) 243-3926 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Jennifer Renee Moore Atc, Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER RENEE MOORE ATC, LMT (NPI 1639106420) is an individual athletic trainer provider in Jacksonville, Illinois and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1639106420
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. JENNIFER RENEE MOORECredential: ATC, LMT
Location Address209 E PENNSYLVANIA AVEJacksonville, IL 62650-3435
Mailing Address209 E Pennsylvania AveJacksonville, IL 62650-3435 · (217) 243-3926
Phone(217) 243-3926
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639106420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
209 E PENNSYLVANIA AVE, Jacksonville, IL 62650
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Moore's NPI number?

The NPI number for Jennifer Moore is 1639106420. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Jennifer Moore located?

Jennifer Moore practices at 209 E Pennsylvania Ave, Jacksonville, IL 62650. The listed phone number is (217) 243-3926.

What is Jennifer Moore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jennifer Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.