Provider Demographics
NPI:1437131034
Name:LOWERY, STEPHANIE M (PT, DPT, DIP MDT)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:M
Last Name:LOWERY
Suffix:
Gender:F
Credentials:PT, DPT, DIP MDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7917 GILDERSLEEVE DR
Mailing Address - Street 2:
Mailing Address - City:KIRTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9530
Mailing Address - Country:US
Mailing Address - Phone:440-527-1112
Mailing Address - Fax:800-506-7952
Practice Address - Street 1:7917 GILDERSLEEVE DR
Practice Address - Street 2:
Practice Address - City:KIRTLAND
Practice Address - State:OH
Practice Address - Zip Code:44094-9530
Practice Address - Country:US
Practice Address - Phone:440-527-1112
Practice Address - Fax:800-506-7952
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH067962251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic