Provider Demographics
NPI:1235247875
Name:COWLEY, JANE
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:COWLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 CENTENNIAL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55109-3087
Mailing Address - Country:US
Mailing Address - Phone:651-748-0372
Mailing Address - Fax:651-748-0377
Practice Address - Street 1:2601 CENTENNIAL DR STE 101
Practice Address - Street 2:
Practice Address - City:NORTH ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55109-3087
Practice Address - Country:US
Practice Address - Phone:651-748-0372
Practice Address - Fax:651-748-0377
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FM4807OtherLICENSE #