Provider Demographics
NPI:1487714200
Name:BOWERS, BRIAN JAMES (PT)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:JAMES
Last Name:BOWERS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 TABLE ROCK DR SW
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-7252
Mailing Address - Country:US
Mailing Address - Phone:256-773-0479
Mailing Address - Fax:256-773-0479
Practice Address - Street 1:3102 TABLE ROCK DR SW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-7252
Practice Address - Country:US
Practice Address - Phone:256-773-0479
Practice Address - Fax:256-773-0479
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3262225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist