Provider Demographics
NPI:1538820436
Name:ROWDEN, TAMARA MADISON (PT)
Entity type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:MADISON
Last Name:ROWDEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:TAMARA
Other - Middle Name:JILL
Other - Last Name:MADISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:2672 SHADOW MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2337
Mailing Address - Country:US
Mailing Address - Phone:720-837-7290
Mailing Address - Fax:
Practice Address - Street 1:214 E 23RD ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3748
Practice Address - Country:US
Practice Address - Phone:307-634-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1356225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist