Doctor Name: | DR. KYLE WILLIAM BOWERS |
NPI Number: | 1285942474 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 2010027997 |
Business Practice Address: | 2016 South Main Street Maryville, MO - 64468 |
Business Phone Number: | 6605627908 |
Business Fax Number: | 6605627967 |
Mailing Address: | 2016 South Main Street, MARYVILLE |
State: | MO |
Postal Code: | 64468 |
Phone Number: | 6605627908 |
Fax Number: | 6605627967 |
NPI Enumeration Date: | 09/22/2010 |
NPI Last Update Date: | 09/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2010027997 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |