Doctor Name: | KRISTA STERN COWLEY |
NPI Number: | 1427303858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PTH6778 |
Business Practice Address: | 7270 Gadsden Hwy Suite 108 Trussville, AL - 351732640 |
Business Phone Number: | 2056557231 |
Business Fax Number: | 2056557232 |
Mailing Address: | 7270 Gadsden Hwy, Suite 108 TRUSSVILLE |
State: | AL |
Postal Code: | 351732640 |
Phone Number: | 2056557231 |
Fax Number: | 2056557232 |
NPI Enumeration Date: | 07/23/2012 |
NPI Last Update Date: | 03/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PTH6778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |