Individual
BRUCE EDWARD BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CSCS
Contact information
Practice address
5145 NW 21ST TER, GAINESVILLE, FL 32605-5453
(352) 373-1899
Mailing address
5145 NW 21ST TER, GAINESVILLE, FL 32605-5453
(352) 373-1899
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA23991
FL
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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