SPENCER FOWLER

ORCHARD PARK, NY
NPI1174980023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  710)
Enumeration Date2016-01-23
Last Update Date2016-01-23
Business Address
-- SPENCER FOWLER ATC
1 BILLS DR
ORCHARD PARK, NY 14127-2237
Phone number: 913-562-4403
Mailing Address
-- SPENCER FOWLER ATC
17559 W 158TH ST
OLATHE, KS 66062-6771
Phone number: 913-562-4403