MS. LISA RAE BOWEN (NPI# 1285031435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285031435 |
| Entity Type | Individual |
| Full Name | MS. LISA RAE BOWEN |
| Credential | CMP |
| Practice Address |
12 Mitchell Blvd San Rafael CA 94903-2009 |
| Mailing Address |
769 Center Blvd # 127 Fairfax CA 94930-1764 |
| Practice Telephone | 4154543400 |
| Practice Fax Number | 4155321879 |
| Mailing Telephone | 4154543400 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | CAMTC 32577 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CAMTC | 32577 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540248 | Lisa Ann Bowen | Speech-Language Pathologist | 313 West Rd, Baltimore, MD 21221-3051 | 2019-04-03 |
| 1881909018 | Lisa Sabatine Bowen | Specialist | 54 County Rd, Turner, ME 04282-4215 | 2010-08-12 |
| 1962477679 | Lisa Michelle Bowen | Optometrist | 609 E Mcmurray Rd, Mc Murray, PA 15317-3419 | 2006-02-17 |
| 1801430053 | Lisa S Bowen | Nurse Practitioner | 4660 Kenmore Ave Ste 900, Alexandria, VA 22304-1383 | 2019-10-31 |
| 1649741133 | Lisa J Bowen | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2018-12-10 |
| 1245676246 | Lisa Marie Bowen | Nutritionist | 268 Lombard St, Thousand Oaks, CA 91360-8223 | 2013-05-16 |
| 1437336591 | Lisa D Bowen | Psychologist | 2850 5th Ave, Huntington, WV 25702-1436 | 2008-01-30 |
| 1457365173 | Lisa Carol Bowen | Optometrist | 2570 Northshore Blvd, Suite 200, Flower Mound, TX 75028-4217 | 2006-07-28 |
| Street Address |
12 MITCHELL BLVD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| 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 |
|---|---|---|---|---|
| 1063019073 | Denise Angela Joan Mitchell | Massage Therapist | 131 Roundtree Blvd, San Rafael, CA 94903-1639 | 2020-10-02 |
| 1255844304 | Kathrin Susanne Graller | Massage Therapist | 526 3rd St, San Rafael, CA 94901-3307 | 2017-11-12 |
| 1477077782 | Lea Wildflower | Massage Therapist | 1004 Irwin St Ste A, San Rafael, CA 94901-3337 | 2017-07-28 |
| 1811501810 | Lowell Noble | Massage Therapist | 1435 4th St, San Rafael, CA 94901-2847 | 2020-09-07 |
| 1447556402 | Theresa Kamler | Massage Therapist | 750 Las Gallinas Ave, Suite 202, San Rafael, CA 94903-3438 | 2011-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1528669348 | Matthew P Martinez | Massage Therapist | 417 N Citrus Ave Apt 7, Escondido, CA 92027-2765 | 2020-11-06 |
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1023619079 | Reanna Whitnall | Massage Therapist | 9950 Campo Rd Ste 204, Spring Valley, CA 91977-1629 | 2020-11-05 |
| 1073114252 | Briana Hill | Massage Therapist | 2203 San Remo Cir, Vista, CA 92084-7727 | 2020-11-04 |
| 1770184954 | Michelle Ann Moeller | Massage Therapist | 5648 Oak Grove Ave, Oakland, CA 94618-1243 | 2020-11-04 |
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1194326553 | Suzanne Romero | Massage Therapist | 411 Alvarado St Apt 201, Monterey, CA 93940-2710 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on MS. LISA RAE BOWEN.
| 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.