Provider Demographics
NPI:1063625929
Name:MCDOWELL, BRANDEN L (DPT, SCS)
Entity type:Individual
Prefix:DR
First Name:BRANDEN
Middle Name:L
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:DPT, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 N MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-1255
Mailing Address - Country:US
Mailing Address - Phone:989-262-8500
Mailing Address - Fax:989-262-8501
Practice Address - Street 1:184 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1255
Practice Address - Country:US
Practice Address - Phone:989-262-8500
Practice Address - Fax:989-262-8501
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011853225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist