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

Jackson Matthew Fowler

Individual provider Athletic Trainer · NPI 1356122576

Jackson Matthew Fowler is an Athletic Trainer in Iowa City, Iowa. Licensed in Iowa. Registered with an NPI since 2023.

Licensed in
IA
In the registry since
2023

Practice location Address checks out

225 S Grand Ave 1628
Iowa City, IA 52242
Phone: (319) 335-9847
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 318957 (IA)

Record details

NPI number1356122576
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 12, 2023
Last updated in NPPESOctober 12, 2023
Certification dateOctober 11, 2023
Mailing address528 S Lucas St, Iowa City, IA 52240-5604

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