Amanda Lynn Bowman, LMT
Individual provider Active NPI Massage Therapist · Harvey, LA
NPI 1396253159 · NPPES record last updated Jan 15, 2018
Key facts
- NPI
- 1396253159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7078 (LA)
- Practice address
- 1525 Lapalco Blvd Ste 12
Harvey, LA 70058-5738 - Phone
- (504) 227-0272
- NPI assigned
- Jan 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 7078 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Clinic of Gretna | Past |
Accepting new patients | |
| Proactive Spine and Rehab | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7078 | LA | Yes |
Addresses
Primary practice location
1525 Lapalco Blvd Ste 12
Harvey, LA 70058-5738
Mailing address
465 Oak St
Marrero, LA 70072-1216
Phone (504) 296-0599
Other providers in Harvey, LA
- Ashley Chanell Blanche
- Candice Dawn Bolander
- Jamal Travis Boudion
- Tracy B Bourg
- Lionel P Bourgeois
- Brandon Boyd
- Laura Bravo
- Julee Breaux
- Lisa Brewer
- James T Bridges
All providers in Harvey, LA · Massage Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2018. 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.