Provider Demographics
NPI:1609054907
Name:COWEE, HEIDI KAY (DPT)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:KAY
Last Name:COWEE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 SPRINGDALE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2852
Mailing Address - Country:US
Mailing Address - Phone:610-644-7824
Mailing Address - Fax:
Practice Address - Street 1:7361 PRAIRIE FALCON RD
Practice Address - Street 2:SUITE 130
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0823
Practice Address - Country:US
Practice Address - Phone:702-243-0515
Practice Address - Fax:702-243-2019
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2177225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV105825Medicare PIN
NVV36885Medicare PIN