Individual
LEVI FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3451 GOODMAN RD E STE 108, SOUTHAVEN, MS 38672-9305
(662) 890-6953
(662) 890-6954
Mailing address
800 CRESCENT CENTRE DR STE 300, FRANKLIN, TN 37067-7285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
10/04/2019
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