Individual
MR. TODD BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
1701 23RD ST, CANYON, TX 79015-5316
(806) 677-2740
Mailing address
17 GRIFFIN DR, CANYON, TX 79015-1800
(806) 677-2740
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000050779
TX
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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