Annie O Bowlby, LMP

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA00007320 Issued in WA

Practice address

1261 Commerce Ave Ste 101
Longview, WA 98632-3090

Phone

(360) 270-4214

NPI assigned

Jun 17, 2009

Last updated

Jun 17, 2009By 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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1063649952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ALPHA DR",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986325804",
            "telephone_number": "360-501-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 COMMERCE AVE STE 101",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323090",
            "telephone_number": "360-270-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLBY",
        "first_name": "ANNIE",
        "middle_name": "O",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00007320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tobin Andrew Boslaugh, PHARMD
• Jacob D Boston, CRNA
• Marc Anthony Bouchard, DO
• John William Boucher, M.D.
• Ashley Bowers, SUDP
• Daren D Bowlby, D.C.
• Daniel Bowman, D.P.T.
• Lucinda Bowman, MS, CCC-SLP
• Heather Renee Boyd
• Teresita Boylon

• Mechanotherapist in Longview, WA
• Providers in Longview, WA by specialty
• Mechanotherapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.