MEDICARE: FOWLER ENTERPRISES INC

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	225100000X	Physical Therapist	1036	NM
2	225100000X	Physical Therapist	1037	NM
3	225100000X	Physical Therapist	1852	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669455994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOWLER ENTERPRISES INC

Provider Business Mailing Address
First Line	:	PO BOX 1730
Second Line	:
City	:	MORIARTY
State	:	NM
Zip	:	87035-1730
Country	:	US
Telephone Number	:	505-832-4011
Fax Number	:	505-832-0434

Provider Business Practice Location Address
First Line	:	2005B US ROUTE 66 WEST
Second Line	:
City	:	MORIARTY
State	:	NM
Zip	:	87035
Country	:	US
Telephone Number	:	505-832-4011
Fax Number	:	505-832-0434

Authorized Official
Title or Position	:	AUTHORIZED REPRESENTATIVE
Name	:	MRS. CHERYL WARREN FOWLER
Credential	:	PT
Telephone Number	:	505-220-6949

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	02/09/2010

Similar Medicare Providers

1568310274 — AMBER WILSON
Practice Location Address:

1209 US ROUTE 66 W STE C
MORIARTY, NM
87035-1039

Practice Phone: 505-226-1566
Practice Fax: 505-521-5191

1942269204 — DR. KIMBERLY A BIRCH DO
Practice Location Address:

1108 CENTRAL AVENUE
MORIARTY, NM
87035

Practice Phone: 505-832-4434
Practice Fax: 505-832-5024

1710944947 — TORRANCE COUNTY COUNSELING, LLC
Practice Location Address:

1701 US RT. 66 , SUITE D
MORIARTY, NM
87035

Practice Phone: 505-832-9135
Practice Fax: 505-832-9404

1972550184 — GREGORY J MARONEY PA-C
Practice Location Address:

1108 W US ROUTE 66
MORIARTY, NM
87035-1006

Practice Phone: 505-832-4434
Practice Fax: 505-832-5024

1528074390 — HIGH PLAINS MEDICAL, INC.
Practice Location Address:

1108 W US ROUTE 66
MORIARTY, NM
87035-1006

Practice Phone: 505-832-4434
Practice Fax: 505-832-5024

1932116472 — JEREMY TODD EDMONDS D.O.
Practice Location Address:

1108 CENTRAL AVE SW
MORIARTY, NM
87035-1520

Practice Phone: 505-832-4434
Practice Fax: 505-832-5024

Directions to “FOWLER ENTERPRISES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.