Provider Demographics
NPI:1538695473
Name:ROWE, KYLIE E (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KYLIE
Middle Name:E
Last Name:ROWE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 DUNCAN ST APT 305F
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-1863
Mailing Address - Country:US
Mailing Address - Phone:701-730-2672
Mailing Address - Fax:415-906-2056
Practice Address - Street 1:970 DUNCAN ST APT 305F
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-1863
Practice Address - Country:US
Practice Address - Phone:701-730-2672
Practice Address - Fax:415-906-2056
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA406422251G0304X, 2251N0400X, 2251S0007X, 2251X0800X
2251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic