person
Jack Evans Loer, LMT
Massage Therapist in Albuquerque, New Mexico
NPI 1700073319

Jack Evans Loer is a Massage Therapist based in Albuquerque, NM. Jack Evans Loer practices in Albuquerque, NM and has the professional credentials of LMT. The NPI Number for Jack Evans Loer is 1700073319 and holds a License No. 5579 (New Mexico).

The current practice location address for Jack Evans Loer is 9412 Indian School Rd Ne, Albuquerque, NM and can be reached out via phone at 505-553-5887.

Location: 9412 Indian School Rd Ne, Albuquerque, NM, 87122-3927
person
Provider Profile Details
NPI Number
1700073319
Provider Name
Jack Evans Loer
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
9412 Indian School Rd Ne, Albuquerque, NM, 87122-3927
Phone Number
505-553-5887
Fax Number
Provider Enumeration Date
09/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5579 01 NM LMT LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
9412 Indian School Rd Ne
City
State
Zip
87112-2878
Phone Number
505-553-5887
Fax Number
person
Provider Business Mailing Address Details
Address
9412 Indian School Rd Ne
City
State
Zip
87112-2878
Phone Number
505-553-5887
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
5579 (New Mexico)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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