Organization
WHOLE BODY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FOWLER LMT,CMT (MEDICAL MASSAGE THERAPIST)
(505) 660-9110
Entity
Organization
Contact information
Practice address
460 SAINT MICHAELS DR, SUITE 601, SANTA FE, NM 87505-7619
(505) 660-9110
Mailing address
2 AVENIDA DE COMPADRES, SANTA FE, NM 87508-8713
(505) 660-9110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5906
NM
Other
Enumeration date
10/02/2015
Last updated
12/15/2015
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