Provider Demographics
NPI:1770660318
Name:MCDOWALL, MARNIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARNIE
Middle Name:
Last Name:MCDOWALL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10547 GILLIAN RD
Mailing Address - Street 2:
Mailing Address - City:FRANKTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80116-8119
Mailing Address - Country:US
Mailing Address - Phone:303-489-7893
Mailing Address - Fax:
Practice Address - Street 1:19751 E MAIN ST
Practice Address - Street 2:SUITE R7
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7378
Practice Address - Country:US
Practice Address - Phone:303-489-7893
Practice Address - Fax:303-805-2992
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36062251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO803193Medicare PIN