Individual
TASHA MICHELLE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
82 BAXTER ST, WILLISTON, SC 29853-2008
(803) 627-7181
Mailing address
82 BAXTER ST, WILLISTON, SC 29853-2008
(803) 627-7181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1207
SC
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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