Healthcare Provider Details

I. General information

NPI: 1912080607
Provider Name (Legal Business Name): ANNE LINDSEY ROWE MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 01/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5302 SIBLEY CT
COLUMBIA MO
65203-9766
US

IV. Provider business mailing address

5302 SIBLEY CT
COLUMBIA MO
65203-9766
US

V. Phone/Fax

Practice location:
  • Phone: 573-355-2362
  • Fax:
Mailing address:
  • Phone: 573-355-2362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05008292A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2007012833
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: