David Bowes

Individual provider Active NPI Massage Therapist · Rio Rancho, NM

NPI 1114220480 · NPPES record last updated Dec 8, 2010

Key facts

NPI
1114220480
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
6314 (NM)
Practice address
1117 Rio Rancho Dr SE Ste 6G
Rio Rancho, NM 87124-1859
Phone
(505) 891-1414
NPI assigned
Dec 8, 2010
Sex
Male
Sole proprietor
No

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
6314NMMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6314 NM Yes

Addresses

Primary practice location

1117 Rio Rancho Dr SE Ste 6G
Rio Rancho, NM 87124-1859

Mailing address

1117 Rio Rancho Dr SE Ste 6G
Rio Rancho, NM 87124-1859

Other providers in Rio Rancho, NM

All providers in Rio Rancho, NM · Massage Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.