Provider Demographics
NPI:1922246271
Name:ROWE, STEPHANIE (MS, CMT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:ROWE
Suffix:
Gender:F
Credentials:MS, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W LAKE AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-2271
Mailing Address - Country:US
Mailing Address - Phone:906-370-9992
Mailing Address - Fax:
Practice Address - Street 1:301 W LAKE AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-2271
Practice Address - Country:US
Practice Address - Phone:906-370-9992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-24
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist