Provider Demographics
NPI:1689073280
Name:LOWE, VALERIE (ATC, PTA)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:ATC, PTA
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:
Other - Last Name:LOWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1754 S DURANGO ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2044
Mailing Address - Country:US
Mailing Address - Phone:360-789-0551
Mailing Address - Fax:
Practice Address - Street 1:4040 ORCHARD ST W STE 100
Practice Address - Street 2:
Practice Address - City:FIRCREST
Practice Address - State:WA
Practice Address - Zip Code:98466-6610
Practice Address - Country:US
Practice Address - Phone:253-564-1560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAA1603095822255A2300X
WAP160767449225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer