Individual
JUSTIN KYLE BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
410 OUACHITA ST ATHLETIC TRAINING- SPEC, ARKADELPHIA, AR 71998-0001
(870) 245-5280
(870) 245-5242
Mailing address
410 OUACHITA ST OBU BOX 3652, ARKADELPHIA, AR 71998-0001
(870) 245-5280
(870) 245-5242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
779
AR
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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