ROD BOWEN (NPI# 1104146885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104146885 |
| Entity Type | Individual |
| Full Name | ROD BOWEN |
| Credential | LMT |
| Practice Address |
2312 Crill Ave Ste 1b Palatka FL 32177-4828 |
| Practice Telephone | 3863853046 |
| Mailing Telephone | 3863853046 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA57076 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2312 CRILL AVE STE 1B |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457470742 | Kyle C Draney | Chiropractor | 2312 Crill Ave Ste 1b, Palatka, FL 32177-4800 | 2007-03-28 |
| 1427667997 | Draney Chiropractic and Rehabilitation | Chiropractor | 2312 Crill Ave Ste 1b, Palatka, FL 32177-4800 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1104117985 | Julia Kate Diehl | Massage Therapist | 823 Laurel St, Palatka, FL 32177-5151 | 2011-04-27 |
| 1013239516 | Natasha Dawn Back | Massage Therapist | 2312 Crill Ave, Suite 1b, Palatka, FL 32177-4828 | 2010-02-24 |
| 1386877066 | Renea Whitmore | Massage Therapist | 142 Timber Ln, Palatka, FL 32177-8574 | 2009-08-28 |
| 1154570174 | Amanda R. Cook | Massage Therapist | 3711 Crill Ave, Palatka, FL 32177-9168 | 2008-09-15 |
| 1750450722 | Fredrick R Bergen | Massage Therapist | 120 S Palm Ave, Palatka, FL 32177-4140 | 2006-11-06 |
| 1821179300 | Lori H White | Massage Therapist | 839 S Sr 19, Palatka, FL 32177 | 2006-10-18 |
| 1114008695 | Esther Leigh Withem | Massage Therapist | 8395 Hwy 19, Palatka, FL 32177 | 2006-10-18 |
| 1891896916 | Bonnie Louise Bird-loeffler | Massage Therapist | 417 West River Rd, Palatka, FL 32177 | 2006-09-25 |
| 1487979126 | Kathleen Marie Tanner | Massage Therapist | 2312 Crill Ave, Suite 1b, Palatka, FL 32177-4828 | 2010-04-06 |
| Find all providers in PALATKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.