Provider Demographics
NPI:1326529694
Name:LOWE, JENNY JAY
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:JAY
Last Name:LOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 TERRY TRL
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-4645
Mailing Address - Country:US
Mailing Address - Phone:940-730-3038
Mailing Address - Fax:
Practice Address - Street 1:911 TERRY TRL
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-4645
Practice Address - Country:US
Practice Address - Phone:940-730-3038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant