Individual
THERESA BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 HOSPITAL CIR, SUITE 8, ELLIJAY, GA 30540-9669
(706) 273-1843
Mailing address
89 HOSPITAL CIR, SUITE 8, ELLIJAY, GA 30540-9669
(706) 273-1843
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008519
—
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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