Jennifer Elizabeth Bowen, LMP
Individual provider Active NPI Massage Therapist · Washougal, WA
NPI 1154744324 · NPPES record last updated Jan 23, 2014
Key facts
- NPI
- 1154744324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA 60334864 (WA)
- Practice address
- 3298 F PL
Washougal, WA 98671-2033 - Phone
- (619) 592-1007
- NPI assigned
- Jan 23, 2014
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60334864 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60334864 | WA | Yes |
Addresses
Primary practice location
3298 F PL
Washougal, WA 98671-2033
Mailing address
3298 F PL
Washougal, WA 98671-2033
Phone (619) 592-1007
Other providers in Washougal, WA
- Jada Bea
- Lisa Bennett
- Elizabeth Bialkowsky
- Kristine Bingaman
- Anne Marie Bock
- Therese R Brooks
- Ashley Buck
- Melanie Frances Budlong
- Alexis Leigh Bullard
- Andrea Nicole Bussey
All providers in Washougal, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.