Corey Alison Bowles, ATC, VATL, EMT

Individual provider Active NPI Athletic Trainer · Covington, VA

NPI 1598901985 · NPPES record last updated Jan 6, 2009

Key facts

NPI
1598901985
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
0126000890 (VA)
Practice address
210 Mountaineer Dr
Covington, VA 24426-6331
Phone
(540) 863-1700
Fax
(540) 863-1705
NPI assigned
Jan 6, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
B081110705VAMDBasic Emergency Medical Technician
0126000890VAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X B081110705 VA
Athletic Trainer 2255A2300X 0126000890 VA Yes

Addresses

Primary practice location

210 Mountaineer Dr
Covington, VA 24426-6331

Mailing address

2936 S Forrest Ave
Covington, VA 24426-2912
Phone (540) 962-5149

Other names

  • Miss Corey Alison McNanley Former name

Other providers in Covington, VA

All providers in Covington, VA · Athletic Trainer in Virginia

Sources for this page

Verify at the official NPI Registry.