Susan Amy Bowman, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00015231 Issued in WA

Practice address

22019 Hwy 99
Suite a
Edmonds, WA 98026

Phone

(425) 774-2411

Fax

(425) 672-7065

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Susan Amy Reichmuth Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Olympic Spine and Sports Therapy PC

  • Chiropractor
  • Mountlake Terrace, WA
  • NPI 1629250980
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1972680023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22019 HWY 99",
            "address_2": "SUITE A",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "425-774-2411",
            "fax_number": "425-672-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22019 HWY 99",
            "address_2": "SUITE A",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "425-774-2411",
            "fax_number": "425-672-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "SUSAN",
        "middle_name": "AMY",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "REICHMUTH",
            "middle_name": "AMY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Randolph Bourne, MD
• Brianne Marie Bowen, PA-C
• Bowers Family Chiropractic
• Gregory Bowers, D.C.
• Jeffry David Bowers, D.C.
• Kimberly A Boyce, PA-C
• Mollie Ann Boyce, LMP
• Kellie A Bradfield, ARNP
• Elise J Bradley, O.T
• Julia Brajcich

• Massage Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.