Provider Demographics
NPI:1427303858
Name:COWLEY, KRISTA STERN (DPT)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:STERN
Last Name:COWLEY
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 1:7270 GADSDEN HWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-2640
Mailing Address - Country:US
Mailing Address - Phone:205-655-7231
Mailing Address - Fax:205-655-7232
Practice Address - Street 1:7270 GADSDEN HWY
Practice Address - Street 2:SUITE 108
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-2640
Practice Address - Country:US
Practice Address - Phone:205-655-7231
Practice Address - Fax:205-655-7232
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH6778174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist