Healthcare Provider Details

I. General information

NPI: 1396075131
Provider Name (Legal Business Name): SARAH CATHERINE ROWLEY P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH CATHERINE KELLER P.T.

II. Dates (important events)

Enumeration Date: 12/29/2009
Last Update Date: 12/18/2020
Certification Date: 12/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 RADIO DR STE 100
WOODBURY MN
55125-5817
US

IV. Provider business mailing address

P.O. BOX 209036 SHRINERS HOSPITALS FOR CHILDREN TWIN CITIES
DALLAS TX
75320-9036
US

V. Phone/Fax

Practice location:
  • Phone: 612-596-6100
  • Fax: 612-339-5954
Mailing address:
  • Phone: 813-281-8478
  • Fax: 813-281-8113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number#5217
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: