Individual
DENISE JANE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1210 17TH ST, BAY CITY, MI 48708-7340
(989) 450-9147
Mailing address
1210 17TH ST, BAY CITY, MI 48708-7340
(989) 450-9147
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010704
MI
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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