Individual
MR. JASON LEE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3099 BRECKENRIDGE LN STE 107, LOUISVILLE, KY 40220-2120
(502) 963-5229
(502) 963-5365
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001332483
ANTHEM PROVIDER ID NUMBER
—
01
—
2143551
WELLCARE OF KY PROVIDER ID NUMBER
KY
05
—
300033296
—
IN
01
—
6464207
CIGNA PROVIDER ID NUMBER
—
01
—
6830783
UNITED HEALTHCARE PROVIDER ID NUMBER
—
05
—
7100642510
—
KY
01
—
CS2003600562
CARESOURCE PROVIDER ID NUMBER
—
01
—
PDZ000000455121
AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
KY
Enumeration date
04/23/2008
Last updated
07/12/2022
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