Provider Demographics
NPI:1609111780
Name:ROWE, TERRY E JR (CMT)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:E
Last Name:ROWE
Suffix:JR
Gender:M
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1566 LA PRADERA DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-1533
Mailing Address - Country:US
Mailing Address - Phone:408-417-5322
Mailing Address - Fax:
Practice Address - Street 1:1566 LA PRADERA DR
Practice Address - Street 2:SUITE 1
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1533
Practice Address - Country:US
Practice Address - Phone:408-417-5322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA981225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist