Provider Demographics
NPI:1336282813
Name:ROWE, KRIS ALANE (ATC)
Entity Type:Individual
Prefix:MISS
First Name:KRIS
Middle Name:ALANE
Last Name:ROWE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 HIGH ST
Mailing Address - Street 2:APT. #1
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-3033
Mailing Address - Country:US
Mailing Address - Phone:906-226-2744
Mailing Address - Fax:
Practice Address - Street 1:1401 PRESQUE ISLE AVE
Practice Address - Street 2:ATHLETICS
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-5305
Practice Address - Country:US
Practice Address - Phone:906-227-1653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer