Provider Demographics
NPI:1629592308
Name:BOWDEN, RACHEL LAUREN (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LAUREN
Last Name:BOWDEN
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4857 ROBINHOOD RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4243
Mailing Address - Country:US
Mailing Address - Phone:502-821-2036
Mailing Address - Fax:
Practice Address - Street 1:P.O. BOX 7329
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27109
Practice Address - Country:US
Practice Address - Phone:502-821-2036
Practice Address - Fax:502-821-2036
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer