Jennifer Bowman, LMT
Massage Therapist in Meridian, ID. Individual provider (NPI-1).
NPI number1376205203
StatusActive
Last updated in NPPESOct 7, 2021
Details
- NPI
- 1376205203
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Bowman
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2021
- Certification date
- Oct 7, 2021
- Last updated
- Oct 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MAS-4413 | ID | Yes |
| 225X00000X | Occupational Therapist | mas-4413 | ID |
Practice location
2857 S Meridian Rd Ste 100Meridian, ID 83642-7960
Phone 208-888-5858 · Fax 208-884-1508
Mailing address
2857 S Meridian Rd Ste 100Meridian, ID 83642-7960
Phone 208-888-5858 · Fax 208-884-1508
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All 41 Massage Therapist providers in Meridian · All 4,112 providers in Meridian
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