MEDICARE: EMILY KATHERINE COWLEY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	08638	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861825358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY KATHERINE COWLEY DPT

Provider Business Mailing Address
First Line	:	257 WINTERWOOD DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-7646
Country	:	US
Telephone Number	:	985-859-4265
Fax Number	:

Provider Business Practice Location Address
First Line	:	8610B FERN AVE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-5639
Country	:	US
Telephone Number	:	318-220-8753
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2013
Last Update Date	:	09/01/2022

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