Individual
KIMBERLI A BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LCSW
Contact information
Practice address
7548 S 1655 W, WEST JORDAN, UT 84084-4029
(801) 318-5015
Mailing address
7548 S 1655 W, WEST JORDAN, UT 84084-4029
(801) 318-5015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14158227-3501
UT
225700000X
Massage Therapist
366756-4701
UT
Other
Enumeration date
07/06/2011
Last updated
07/01/2025
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