Provider Demographics
NPI:1164947974
Name:GINAS BOWEN THERAPY
Entity Type:Organization
Organization Name:GINAS BOWEN THERAPY
Other - Org Name:MASSAGE THERAPIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MASSAGE THAERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEORGETA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-345-3595
Mailing Address - Street 1:23023 ORCHARD LAKE RD STE C
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3267
Mailing Address - Country:US
Mailing Address - Phone:248-345-3595
Mailing Address - Fax:
Practice Address - Street 1:23023 ORCHARD LAKE RD STE C
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-3267
Practice Address - Country:US
Practice Address - Phone:248-345-3595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty