MEDICARE: MR. JUNIOUS COWLES LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	0019019662	VA

General Provider Information

NPI Number	:	1205783024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JUNIOUS COWLES LMT

Provider Business Mailing Address
First Line	:	2226 W MAIN ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-4433
Country	:	US
Telephone Number	:	804-353-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2226 W MAIN ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-4433
Country	:	US
Telephone Number	:	804-353-8100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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Directions to “ MR. JUNIOUS COWLES LMT” Practice Location

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