Individual
CHASE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 COUNTRY CLUB DR STE 530B, JEFFERSON CITY, MO 65109-1060
(573) 606-7100
Mailing address
3600 COUNTRY CLUB DR STE 530B, JEFFERSON CITY, MO 65109-1060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2021043980
MO
Other
Enumeration date
12/29/2025
Last updated
12/31/2025
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