Healthcare Provider Details

I. General information

NPI: 1720904329
Provider Name (Legal Business Name): LAURA ROWLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 SPRINGPORT RD
JACKSON MI
49202-1496
US

IV. Provider business mailing address

12742 25 1/2 MILE RD
ALBION MI
49224-9526
US

V. Phone/Fax

Practice location:
  • Phone: 517-783-9023
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number5502001014
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: