Provider Demographics
NPI:1356647473
Name:DOWER, AMBER S (LMT)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:S
Last Name:DOWER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2922 EVERGREEN PKWY STE 316
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7915
Mailing Address - Country:US
Mailing Address - Phone:303-870-0251
Mailing Address - Fax:
Practice Address - Street 1:2922 EVERGREEN PKWY STE 316
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-7915
Practice Address - Country:US
Practice Address - Phone:303-870-0251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6446225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist