Christopher Michael Bowers, PTA

Individual provider Active NPI Physical Therapy Assistant · Roanoke, IN

NPI 1801159348 · NPPES record last updated Jun 20, 2012

Key facts

NPI
1801159348
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
06003747A (IN)
Practice address
386 Clark St
Roanoke, IN 46783-8810
Phone
(260) 450-3627
NPI assigned
Jun 20, 2012
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

State licenses

LicenseStateTypeSpecialty
06003747AINMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06003747A IN Yes

Addresses

Primary practice location

386 Clark St
Roanoke, IN 46783-8810

Mailing address

386 Clark St
Roanoke, IN 46783-8810
Phone (260) 450-3627

Other providers in Roanoke, IN

All providers in Roanoke, IN · Physical Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.