Provider Demographics
NPI:1053665810
Name:BOWMAN, ROBIN (ATC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:WHISMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:841 N. 14TH ST.
Mailing Address - Street 2:55 CAMPUS RECREATION CENTER
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68588-0232
Mailing Address - Country:US
Mailing Address - Phone:402-472-4769
Mailing Address - Fax:402-472-8080
Practice Address - Street 1:841 N. 14TH ST.
Practice Address - Street 2:55 CAMPUS RECREATION CENTER
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68588-0232
Practice Address - Country:US
Practice Address - Phone:402-472-4769
Practice Address - Fax:402-472-8080
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-01
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2442255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer