Individual
KATIE MARIE MOKSNES BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
34 WATER ST, SUITE B, EXCELSIOR, MN 55331-1846
(612) 501-7171
Mailing address
34 WATER ST, SUITE B, EXCELSIOR, MN 55331-1846
(612) 501-7171
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC155869
OR
Other
Enumeration date
02/08/2012
Last updated
12/16/2016
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