Jennifer Moore, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1617659 Issued in AR

Practice address

430 Ravenna Dr
Centerton, AR 72719-7719

Phone

(530) 264-6279

NPI assigned

Jul 1, 2026

Last updated

Jul 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1073430989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 RAVENNA DR",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727197719",
            "telephone_number": "530-264-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 RAVENNA DR",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727197719",
            "telephone_number": "530-264-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNIFER",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AR",
            "license": "1617659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt McShane DDS PLLC
• Anna Janelle McCraw, LAC
• Susan K McGaughey, LCSW
• Jayna J. Monical, FNP-BC
• Brittney Marie Moore, MS, CCC-SLP
• Amy Marie Muse, L.P.C.
• Trystan Lee Oakley, DC
• Molly G Ollie, LCSW
• Ozark Family Chiropractic LLC (Ozark Family Chiropractic)
• Andrea Therese Paasch

• Massage Therapist in Centerton, AR
• Providers in Centerton, AR by specialty
• Massage Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.