Provider Demographics
NPI:1013807767
Name:SOWELL, ATHENA R
Entity type:Individual
Prefix:
First Name:ATHENA
Middle Name:R
Last Name:SOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 E 160TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-2414
Mailing Address - Country:US
Mailing Address - Phone:216-409-6458
Mailing Address - Fax:216-409-6458
Practice Address - Street 1:4215 E 160TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-2414
Practice Address - Country:US
Practice Address - Phone:216-409-6458
Practice Address - Fax:216-409-6458
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-05
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health