Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Katelynn Prowker

Individual provider Athletic Trainer · NPI 1881207033

Alexis Katelynn Prowker is an Athletic Trainer in Wilkes Barre, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

133 N River St
Wilkes Barre, PA 18711-0800
Phone: (570) 208-5925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1881207033
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2020
Last updated in NPPESAugust 27, 2020
Certification dateAugust 27, 2020

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