Provider Demographics
NPI:1154495893
Name:ROWLEY, JANICE HERR (MT, CMLDT)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:HERR
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:MT, CMLDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8045 BIG BEND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2714
Mailing Address - Country:US
Mailing Address - Phone:314-620-3026
Mailing Address - Fax:
Practice Address - Street 1:6607 NORTH DR
Practice Address - Street 2:
Practice Address - City:BYRNES MILL
Practice Address - State:MO
Practice Address - Zip Code:63051-1031
Practice Address - Country:US
Practice Address - Phone:314-620-3026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003668225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist