Healthcare Provider Details

I. General information

NPI: 1538903463
Provider Name (Legal Business Name): BAILEE ANN BOWERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7090 VIOLET VEIL CT
DUBLIN OH
43016-8304
US

IV. Provider business mailing address

7090 VIOLET VEIL CT
DUBLIN OH
43016-8304
US

V. Phone/Fax

Practice location:
  • Phone: 614-906-5351
  • Fax:
Mailing address:
  • Phone: 614-906-5351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2000059156
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: