Individual
ZACHARY COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
6637 E STATE ROAD 16, TWELVE MILE, IN 46988-9520
(574) 398-2470
Mailing address
6637 E STATE ROAD 16, TWELVE MILE, IN 46988-9520
(574) 398-2470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002495A
IN
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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