Provider Demographics
NPI:1275089286
Name:FOWEE, DAKOTA JAMES (ATC)
Entity Type:Individual
Prefix:MR
First Name:DAKOTA
Middle Name:JAMES
Last Name:FOWEE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14586 TODD RUN NEW HARMONY RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45176-9687
Mailing Address - Country:US
Mailing Address - Phone:513-578-4111
Mailing Address - Fax:
Practice Address - Street 1:14586 TODD RUN NEW HARMONY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-9687
Practice Address - Country:US
Practice Address - Phone:513-578-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-30
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program