Wellformed AI

NPI 1396253159 · live from the CMS NPI Registry

Amanda Lynn Bowman, LMT

Massage Therapist in Harvey, LA. National Provider Identifier 1396253159, active.

NPI record

NPI1396253159 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location1525 Lapalco Blvd Ste 12, Harvey, LA 70058
Practice phone504-227-0272
Mailing address465 Oak St, Marrero, LA 70072
EnumeratedJanuary 15, 2018
Last updatedJanuary 15, 2018
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X7078 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.