NPI 1053811828

Justin Kyle Bowles, ATCLAT

Practitioner Athletic Trainer Arkadelphia, AR

Practice location

Address: 410 Ouachita St Athletic Training- Spec, Arkadelphia, AR 71998-0001
Phone: (870) 245-5280
Fax: (870) 245-5242
Mailing address: 410 Ouachita St Obu Box 3652, Arkadelphia, AR 71998-0001

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 779 (AR)

Other Specialist/Technologist providers in Arkansas →

Registry record

NPI: 1053811828
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Feb 2018
Record last updated: 18 Feb 2018

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.