Henry Todd Bowden, A.T.C.

Individual provider Active NPI Athletic Trainer · Siloam Springs, AR

NPI 1932196003 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1932196003
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT111 (AR)
Practice address
500 S Mount Olive St
Suite 100
Siloam Springs, AR 72761-3602
Phone
(479) 524-6306
Fax
(479) 524-6096
NPI assigned
Oct 4, 2005
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
AT111ARMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT111 AR Yes

Addresses

Primary practice location

500 S Mount Olive St
Suite 100
Siloam Springs, AR 72761-3602

Mailing address

124 Ahlstrand
Springdale, AR 72762-4153
Phone (479) 306-8633

Other providers in Siloam Springs, AR

All providers in Siloam Springs, AR · Athletic Trainer in Arkansas

Sources for this page

Verify at the official NPI Registry.