Provider Demographics
NPI:1619566692
Name:LOWENSTEIN, TESSA DALNOKY (DC)
Entity Type:Individual
Prefix:DR
First Name:TESSA
Middle Name:DALNOKY
Last Name:LOWENSTEIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 S 21ST ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-2766
Mailing Address - Country:US
Mailing Address - Phone:719-287-2126
Mailing Address - Fax:
Practice Address - Street 1:1310 S 21ST ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-2766
Practice Address - Country:US
Practice Address - Phone:719-630-7032
Practice Address - Fax:719-630-1336
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCHR.0008311OtherLICENSE