Provider Demographics
NPI:1336435833
Name:BOWMAN, JAMES (LMP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9727 COPPERTOP LOOP NE STE 102
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-4633
Mailing Address - Country:US
Mailing Address - Phone:206-842-9900
Mailing Address - Fax:
Practice Address - Street 1:9727 COPPERTOP LOOP NE STE 102
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-4633
Practice Address - Country:US
Practice Address - Phone:206-842-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA597668-10225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist