MEDICARE: TASHA BOWERS 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	111NI0013X	Independent Medical Examiner Chiropractor	43056	FL

General Provider Information

NPI Number	:	1801128855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASHA BOWERS LMT

Provider Business Mailing Address
First Line	:	1523 W HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-1207
Country	:	US
Telephone Number	:	813-251-5290
Fax Number	:	813-251-5672

Provider Business Practice Location Address
First Line	:	1523 W HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-1207
Country	:	US
Telephone Number	:	813-251-5290
Fax Number	:	813-251-5672

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

Provider Enumeration Date	:	02/02/2010
Last Update Date	:	02/02/2010

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Directions to “ TASHA BOWERS LMT” Practice Location

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