Provider Demographics
NPI:1083433254
Name:LOWE, SHARON ROSE (LMT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ROSE
Last Name:LOWE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1734 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-2344
Mailing Address - Country:US
Mailing Address - Phone:567-204-9750
Mailing Address - Fax:
Practice Address - Street 1:288 PROFESSIONAL PL
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45807-3202
Practice Address - Country:US
Practice Address - Phone:567-204-9750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-05
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.022722225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist