Provider Demographics
NPI:1184849176
Name:LOWRY, JOHN ROBERT (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ROBERT
Last Name:LOWRY
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:MONETT
Mailing Address - State:MO
Mailing Address - Zip Code:65708-1622
Mailing Address - Country:US
Mailing Address - Phone:417-235-8770
Mailing Address - Fax:417-235-8780
Practice Address - Street 1:811 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:MONETT
Practice Address - State:MO
Practice Address - Zip Code:65708-1622
Practice Address - Country:US
Practice Address - Phone:417-235-8770
Practice Address - Fax:417-235-8780
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist