National Provider Identifier

Spencer Fowler, ATC

Spencer Fowler, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Orchard Park, NY and a listed phone number of (913) 562-4403.

NPI 1174980023Orchard Park, NYAthletic Trainer

Profile Overview

NPI
1174980023
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
January 23, 2016
Last Updated
January 23, 2016

Practice Location

  • 1 Bills Dr
  • Orchard Park, NY 14127-2237

Phone: (913) 562-4403

Mailing Address

  • 17559 W 158Th St
  • Olathe, KS 66062-6771

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1174980023
Entity Type
Individual
Last Name
Fowler
First Name
Spencer
Credential
ATC
Mailing Street Address
17559 W 158Th St
Mailing City
Olathe
Mailing State
KS
Mailing ZIP Code
66062-6771
Mailing Country
US
Mailing Phone
(913) 562-4403
Practice Street Address
1 Bills Dr
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2237
Practice Country
US
Practice Phone
(913) 562-4403
Enumeration Date
January 23, 2016
Last Updated
January 23, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)