Provider Demographics
NPI:1871706903
Name:DOWMA, NOELLE SUSAN (DPT)
Entity type:Individual
Prefix:DR
First Name:NOELLE
Middle Name:SUSAN
Last Name:DOWMA
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 1:10880 BENSON DR STE 2370
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1599
Mailing Address - Country:US
Mailing Address - Phone:816-379-6899
Mailing Address - Fax:816-817-0034
Practice Address - Street 1:10880 BENSON DR STE 2370
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210
Practice Address - Country:US
Practice Address - Phone:816-379-6899
Practice Address - Fax:816-817-0034
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03590225100000X
MO2006008319225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1326472705OtherNPI