Individual
MRS. CELIA BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
29315 NW 170TH TER, ALACHUA, FL 32615-3181
(386) 462-2038
Mailing address
29315 NW 170TH TER, ALACHUA, FL 32615-3181
(386) 462-2038
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA4595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5963
BLUE CROSSBLUE SHIELD
FL
Enumeration date
06/03/2007
Last updated
07/08/2007
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