Provider Demographics
NPI:1205566619
Name:DOWDEN, TAMMIE JO (CMT)
Entity type:Individual
Prefix:
First Name:TAMMIE
Middle Name:JO
Last Name:DOWDEN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:TAMMIE
Other - Middle Name:JO
Other - Last Name:ELLISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6628 HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:TOWER
Mailing Address - State:MN
Mailing Address - Zip Code:55790-8204
Mailing Address - Country:US
Mailing Address - Phone:218-410-8890
Mailing Address - Fax:
Practice Address - Street 1:6628 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:TOWER
Practice Address - State:MN
Practice Address - Zip Code:55790-8204
Practice Address - Country:US
Practice Address - Phone:218-410-8890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach