Thomas Harold McGowan, MED, ATC, LAT
Individual provider Active NPI Athletic Trainer · Town and Country, MO
NPI 1124504352 · NPPES record last updated Jul 11, 2018
Key facts
- NPI
- 1124504352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2013003673 (MO)
- Practice address
- 13001 N Outer 40 Rd Ste 2a
Town and Country, MO 63017-5941 - Phone
- (314) 324-0367
- NPI assigned
- Jul 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013003673 | MO | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2013003673 | MO | Yes |
Addresses
Primary practice location
13001 N Outer 40 Rd Ste 2a
Town and Country, MO 63017-5941
Mailing address
8637 Brookshire LN Apt C
Saint Louis, MO 63132-4711
Phone (314) 437-6433
Other names
- Tom McGowan
Other providers in Town and Country, MO
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- Aisha Kashif Lubinski
- Fnu Mailisi
- Jaimie Marie Mains
- Justin Mann
- Kimberley McGuiness
- Adrienne Paige McWherter
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- Jessica Mitchell
All providers in Town and Country, MO · Athletic Trainer in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.