Individual
TYLAR BOWIE-EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 MILL ST FL 2, SPRINGFIELD, MA 01108-1007
(401) 340-9174
Mailing address
1149 MAIN ST, PO BOX 30943, SPRINGFIELD, MA 01103-2149
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17726
MA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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