Provider Demographics
NPI:1184416950
Name:ROWLES, DENISHA FAYE (PTA)
Entity type:Individual
Prefix:
First Name:DENISHA
Middle Name:FAYE
Last Name:ROWLES
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 7TH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-4971
Mailing Address - Country:US
Mailing Address - Phone:907-415-4222
Mailing Address - Fax:907-206-7156
Practice Address - Street 1:530 7TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-4971
Practice Address - Country:US
Practice Address - Phone:907-415-4222
Practice Address - Fax:907-206-7156
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK223160225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant