Provider Demographics
NPI:1255530598
Name:COWLES, AMANDA DAWN (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:DAWN
Last Name:COWLES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11331 SOUTH VIRGINIA STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89611
Mailing Address - Country:US
Mailing Address - Phone:775-853-9966
Mailing Address - Fax:776-853-9969
Practice Address - Street 1:11331 SOUTH VIRGINIA STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89611
Practice Address - Country:US
Practice Address - Phone:775-853-9966
Practice Address - Fax:776-853-9969
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2149225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist