NPI 1003466095

Dylan Lee Bowersox

Practitioner Athletic Trainer Mifflinburg, PA

Practice location

Address: 2380 Wildwood Rd, Mifflinburg, PA 17844-8250
Phone: (570) 428-5047

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RTO000232 (PA)

Other Specialist/Technologist providers in Pennsylvania →

Registry record

NPI: 1003466095
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2019
Record last updated: 12 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.