Ann Marie Fowler-Pyle, LMT

Individual provider Active NPI Massage Therapist · Lynn Haven, FL

NPI 1013661453 · NPPES record last updated Feb 4, 2022

Key facts

NPI
1013661453
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA86700 (FL)
Practice address
1701 Tennessee Ave
Lynn Haven, FL 32444-3240
Phone
(850) 319-1229
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18372NCMDPharmacist
MA86700FLMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 18372 NC
Massage Therapist 225700000X MA86700 FL Yes

Addresses

Primary practice location

1701 Tennessee Ave
Lynn Haven, FL 32444-3240

Mailing address

1904 Isabella Ave
Panama City, FL 32405-1527
Phone (850) 319-1229

Other providers in Lynn Haven, FL

All providers in Lynn Haven, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.