Chantelle Cowan, CMT
Individual provider Active NPI Massage Therapist · Springville, CA
NPI 1194593178 · NPPES record last updated Dec 19, 2023
Key facts
- NPI
- 1194593178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 95167 (CA)
- Practice address
- 35625 Highway 190 Ste 201
Springville, CA 93265-9747 - Phone
- (559) 350-1998
- NPI assigned
- Dec 19, 2023
- 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 |
|---|---|---|---|
| 95167 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 95167 | CA | Yes |
Addresses
Primary practice location
35625 Highway 190 Ste 201
Springville, CA 93265-9747
Mailing address
PO Box 270
Springville, CA 93265-0270
Phone (559) 350-1998
Other providers in Springville, CA
- Camp Nelson Ambulance Association Incorporated
- Family Healthcare Network
- Angela Maria Grimmig
- In-Home Sleep Diagnostics
- Desiree Katrones
- Maria Lemus
All providers in Springville, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2023. 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.