Provider Demographics
NPI:1558877449
Name:ROWE, DANIEL P (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:P
Last Name:ROWE
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4145 OAKMONT LN
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8511
Mailing Address - Country:US
Mailing Address - Phone:828-612-8097
Mailing Address - Fax:
Practice Address - Street 1:4145 OAKMONT LN
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8511
Practice Address - Country:US
Practice Address - Phone:828-612-8097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-14
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAT-30422255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer