Individual
KIMBERLY LANE BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCMT
Contact information
Practice address
200 N JOHN F KENNEDY AVE, SUITE C, LOOGOOTEE, IN 47553-1278
(812) 709-9050
Mailing address
204 HIGH ST, LOOGOOTEE, IN 47553-1003
(812) 709-9050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21204367
IN
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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