Healthcare Provider Details

I. General information

NPI: 1407701683
Provider Name (Legal Business Name): JOSHUA ROSS LOWE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

394 W WILSON ST
STRUTHERS OH
44471-1266
US

IV. Provider business mailing address

394 W WILSON ST
STRUTHERS OH
44471-1266
US

V. Phone/Fax

Practice location:
  • Phone: 234-855-9845
  • Fax:
Mailing address:
  • Phone: 234-855-9845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: