John B Fowler Valid NPI

Individual provider · Athletic Trainer · Madison, WI

NPI

1144241829

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

233-039 (WI)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-21

Last updated

2007-07-08