Provider Demographics
NPI:1255936662
Name:BOWER, BROOKE KATHERINE (MT-BC)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:KATHERINE
Last Name:BOWER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 118TH AVE SE STE 400
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3873
Mailing Address - Country:US
Mailing Address - Phone:425-644-0988
Mailing Address - Fax:
Practice Address - Street 1:1331 118TH AVE SE STE 400
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3873
Practice Address - Country:US
Practice Address - Phone:425-644-0988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist