MEDICARE: CHLOE ANN LOWERY 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	MT.005870	CO

General Provider Information

NPI Number	:	1669206959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE ANN LOWERY LMT

Provider Business Mailing Address
First Line	:	616 W GRANGE CT
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80503-9462
Country	:	US
Telephone Number	:	720-345-2461
Fax Number	:

Provider Business Practice Location Address
First Line	:	3004 FOLSOM ST
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-2838
Country	:	US
Telephone Number	:	720-509-9588
Fax Number	:

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

Provider Enumeration Date	:	08/28/2024
Last Update Date	:	08/28/2024

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Directions to “ CHLOE ANN LOWERY LMT” Practice Location

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