Daniel R Cowell, ATC
Individual provider Active NPI Athletic Trainer · Culver, IN
NPI 1467583575 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467583575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1300 Academy Rd
#3
Culver, IN 46511-1234 - Phone
- (574) 842-7075
- NPI assigned
- Mar 8, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1300 Academy Rd
#3
Culver, IN 46511-1234
Mailing address
1300 Academy Rd
#3
Culver, IN 46511-1234
Other providers in Culver, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.