Provider Demographics
NPI:1851735526
Name:BOWEN, LINDSAY RENEE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:RENEE
Last Name:BOWEN
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:PO BOX 630001
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80163-0001
Mailing Address - Country:US
Mailing Address - Phone:720-209-9754
Mailing Address - Fax:303-346-9727
Practice Address - Street 1:4735 LAURELGLEN LN
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-6928
Practice Address - Country:US
Practice Address - Phone:303-798-5602
Practice Address - Fax:303-798-5602
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL0012071225100000X
COPTL.00120712251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO39408027Medicaid