Provider Demographics
NPI:1922755990
Name:POWERS, JOSHUA DAVID (MSAT, LAT, ATC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:DAVID
Last Name:POWERS
Suffix:
Gender:M
Credentials:MSAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 MISTY LN APT 106
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-8452
Mailing Address - Country:US
Mailing Address - Phone:832-353-6100
Mailing Address - Fax:
Practice Address - Street 1:205 FM1095
Practice Address - Street 2:
Practice Address - City:ELMATON
Practice Address - State:TX
Practice Address - Zip Code:77440
Practice Address - Country:US
Practice Address - Phone:979-843-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT93942255A2300X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherN/A