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JESSICA MARIE FOWLER LMT NPI 1972734432


NPI Information

NPI: 1972734432
Provider Name: JESSICA MARIE FOWLER, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2629 W 23RD ST
SUITE E
PANAMA CITY, FL
ZIP 32405
Phone: (850) 215-4884
Get Directions

Jessica Marie Fowler, LMT is a massage therapist in Panama City, FL. The provider is 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. Jessica Marie Fowler, LMT NPI is 1972734432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2629 W 23RD ST
SUITE E
PANAMA CITY, FL
ZIP 32405-311
Phone: (850) 215-4884
Fax: (850) 215-4884

The enumeration date for this NPI number is 7/31/2009 and was last updated on 11/2/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistMA54572FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C101SOTHERFLORIDABLUE CROSS BLUE SHEILD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.