Individual
JENNIFER LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
15000 MINNETONKA BLVD, MINNETONKA, MN 55345-1506
(952) 935-4037
Mailing address
3225 HUMBOLDT AVE S, MINNEAPOLIS, MN 55408-3329
(612) 750-1870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2868
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024610
PREFFERED 1 GROUP NUMBER
MN
01
—
25557MO
BLUE CROSS INDIVIDUAL ID
MN
Enumeration date
01/24/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us