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NPI Code Detail

MEDICARE: KATELYN MCDOWELL

MEDICARE: KATELYN MCDOWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA013369OH

General Provider Information

NPI Number : 1891492963
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN MCDOWELL
Provider Business Mailing Address
First Line : 4182 BOBOLINK CIR
Second Line :
City : STOW
State : OH
Zip : 44224-2314
Country : US
Telephone Number : 330-283-5764
Fax Number :
Provider Business Practice Location Address
First Line : 4650 ROCKY RIVER DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44135-3846
Country : US
Telephone Number : 216-267-5445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2023
Last Update Date : 02/09/2023

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Directions to “ KATELYN MCDOWELL ” Practice Location

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