Healthcare Provider Details

I. General information

NPI: 1356900070
Provider Name (Legal Business Name): KYLIE ROWE DBA LIVING HEALTHY PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 01/02/2021
Certification Date: 01/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 DUNCAN ST APT 305F
SAN FRANCISCO CA
94131-1863
US

IV. Provider business mailing address

970 DUNCAN ST APT 305F
SAN FRANCISCO CA
94131-1863
US

V. Phone/Fax

Practice location:
  • Phone: 415-906-2055
  • Fax: 415-906-2056
Mailing address:
  • Phone: 415-906-2055
  • Fax: 415-906-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KYLIE ROWE
Title or Position: OWNER
Credential: PT, DPT
Phone: 415-906-2055