Carmody Bowman, LMBT

Individual provider Active NPI Massage Therapist · Sneads Ferry, NC

NPI 1457067175 · NPPES record last updated Jan 26, 2023

Key facts

NPI
1457067175
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
19150 (NC)
Practice address
200 Cape Fear Cir Ste 2
Sneads Ferry, NC 28460-9192
Phone
(910) 327-0022
Fax
(910) 327-0337
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
19150NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitekettle Chiropractic Services, PLLC Current
since Jan 29, 2023
Accepting new patients

Locations

200 Cape Fear Cir
Ste 2
Sneads Ferry, NC 28460
Phone (910) 327-0022

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 19150 NC Yes

Addresses

Primary practice location

200 Cape Fear Cir Ste 2
Sneads Ferry, NC 28460-9192

Mailing address

200 Cape Fear Cir Ste 2
Sneads Ferry, NC 28460-9192
Phone (910) 327-0022

Other providers in Sneads Ferry, NC

All providers in Sneads Ferry, NC · Massage Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.