Individual
SPENCER FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 BILLS DR, ORCHARD PARK, NY 14127-2237
(913) 562-4403
Mailing address
17559 W 158TH ST, OLATHE, KS 66062-6771
(913) 562-4403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
710
NE
Other
Enumeration date
01/23/2016
Last updated
01/23/2016
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