Individual
MR. MARK SHOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 412-4012
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-4012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1203
NE
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
133840
KY
Other
Enumeration date
07/07/2006
Last updated
04/30/2025
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