Provider Demographics
NPI:1700400884
Name:LOWRY, SHAWN (RRT)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:LOWRY
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8390 BOBOLINK AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5504
Mailing Address - Country:US
Mailing Address - Phone:513-512-8485
Mailing Address - Fax:
Practice Address - Street 1:8390 BOBOLINK AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5504
Practice Address - Country:US
Practice Address - Phone:513-512-8485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered