Healthcare Provider Details

I. General information

NPI: 1194611582
Provider Name (Legal Business Name): TALIA ROWE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W PARK STREET
SHEFFIELD IA
50475
US

IV. Provider business mailing address

309 MAPLE ST E
ROCKWELL IA
50469-1027
US

V. Phone/Fax

Practice location:
  • Phone: 641-892-4111
  • Fax:
Mailing address:
  • Phone: 641-210-8907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number130664
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number130664
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: