Individual ProviderMichelle B FowlerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517(915) 562-8525(415) 208-1127PECOS EnrollmentBased on the most recent information from CMS, provider Michelle B Fowler does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1407810492Provider TypeIndividualFull NameFowler, Michelle BCredentialPTGenderFemaleSole ProprietorNoEnumeration Date4/14/2006Last Updated3/19/2009Contact InformationPractice LocationPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517Phone(915) 562-8525Fax(915) 566-3889Mailing LocationMailing Address6692 Pearl Ridge Dr, El Paso, TX 79912-7209Phone(415) 208-1127FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1180840TexasProvider IdentifiersIDDescriptionIssuerIDAB15898DescriptionOtherIssuerMEDICARE ID - TYPE UNSPECIFIEDTexas