Healthcare Provider Details

I. General information

NPI: 1437131034
Provider Name (Legal Business Name): STEPHANIE M LOWERY PT, DPT, DIP MDT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7917 GILDERSLEEVE DR
KIRTLAND OH
44094-9530
US

IV. Provider business mailing address

7917 GILDERSLEEVE DR
KIRTLAND OH
44094-9530
US

V. Phone/Fax

Practice location:
  • Phone: 440-527-1112
  • Fax: 800-506-7952
Mailing address:
  • Phone: 440-527-1112
  • Fax: 800-506-7952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number06796
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: