Provider Demographics
NPI:1720975758
Name:TROWEL, MAKAYLA DESIREE
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:DESIREE
Last Name:TROWEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1803
Mailing Address - Country:US
Mailing Address - Phone:502-956-8542
Mailing Address - Fax:502-956-8542
Practice Address - Street 1:521 S 3RD ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1803
Practice Address - Country:US
Practice Address - Phone:502-956-8542
Practice Address - Fax:502-956-8542
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYC-0000082311744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management