Provider Demographics
NPI:1174080121
Name:BOWER, ALISON MICHELLE (ATC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:MICHELLE
Last Name:BOWER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 MACK HILL RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2413
Mailing Address - Country:US
Mailing Address - Phone:603-673-4454
Mailing Address - Fax:
Practice Address - Street 1:183 MACK HILL RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2413
Practice Address - Country:US
Practice Address - Phone:603-673-4454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH06592255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer