Jonathan Alexander Bowles, LMT, MMP

NPI #1801525142 in Swansea, Illinois

Provider Information

NPI Number: 1801525142
Entity Type: Individual
Name: Jonathan Alexander Bowles, LMT, MMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, MMP
Enumeration Date: Jun 9, 2022
Last Updated: Jun 9, 2022

Practice Location

Address: 3720 ROUND HILL RD APT 8
City: Swansea
State: Illinois
ZIP Code: 62226-1205
Phone: (217) 899-6714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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