Provider Demographics
NPI:1215654421
Name:ROWLAND, ALEXANDRA DORIS (DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:DORIS
Last Name:ROWLAND
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 1:125 AIRPORT ROAD
Mailing Address - Street 2:
Mailing Address - City:CHINOOK
Mailing Address - State:MT
Mailing Address - Zip Code:59523
Mailing Address - Country:US
Mailing Address - Phone:406-357-2549
Mailing Address - Fax:
Practice Address - Street 1:125 AIRPORT ROAD
Practice Address - Street 2:
Practice Address - City:CHINOOK
Practice Address - State:MT
Practice Address - Zip Code:59523
Practice Address - Country:US
Practice Address - Phone:406-357-2549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-LIC-24295225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist