Healthcare Provider Details

I. General information

NPI: 1376868430
Provider Name (Legal Business Name): REBECCA JEANNE LOWE P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 04/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 BROOKWOOD TER
NASHVILLE TN
37205-1406
US

IV. Provider business mailing address

74 BROOKWOOD TER
NASHVILLE TN
37205-1406
US

V. Phone/Fax

Practice location:
  • Phone: 615-356-1524
  • Fax:
Mailing address:
  • Phone: 615-356-4103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number4522
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: