Individual
COLLEEN R BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 262-9355
Mailing address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 262-9355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11938-146
WI
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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