Provider Demographics
NPI:1689011314
Name:LOWERY, LAVASHLYN ALEXIS (DPT)
Entity Type:Individual
Prefix:DR
First Name:LAVASHLYN
Middle Name:ALEXIS
Last Name:LOWERY
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 1:736 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE A-12
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-4379
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:736 JOHNSON FERRY RD
Practice Address - Street 2:SUITE A-12
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4379
Practice Address - Country:US
Practice Address - Phone:404-367-2085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011022225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist