Individual
LUKE HENRY COWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1102 SHADY LN, JACKSON, MO 63755-2652
(573) 275-0711
Mailing address
1102 SHADY LN, JACKSON, MO 63755-2652
(573) 275-0711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2000166666
MO
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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