Provider Demographics
NPI:1932628856
Name:BOWMAN, STEVEN DANIEL (LPTA)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:DANIEL
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 FRANKLIN PIKE SE
Mailing Address - Street 2:
Mailing Address - City:FLOYD
Mailing Address - State:VA
Mailing Address - Zip Code:24091-2893
Mailing Address - Country:US
Mailing Address - Phone:540-745-4178
Mailing Address - Fax:540-745-4179
Practice Address - Street 1:237 FRANKLIN PIKE SE
Practice Address - Street 2:
Practice Address - City:FLOYD
Practice Address - State:VA
Practice Address - Zip Code:24091-2893
Practice Address - Country:US
Practice Address - Phone:540-745-4178
Practice Address - Fax:540-745-4179
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306604812225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant