Kim Fowler

NPI #1598164774 in Harrisburg, Illinois

Provider Information

NPI Number: 1598164774
Entity Type: Individual
Name: Kim Fowler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 303 S COMMERCIAL ST
Address 2: STE 10
City: Harrisburg
State: Illinois
ZIP Code: 62946-2125
Phone: (618) 252-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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