Provider Demographics
NPI:1760293666
Name:ROWLETT, CHESLEY
Entity type:Individual
Prefix:
First Name:CHESLEY
Middle Name:
Last Name:ROWLETT
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 1:22606 HEATHER WAY CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3663
Mailing Address - Country:US
Mailing Address - Phone:317-450-3121
Mailing Address - Fax:
Practice Address - Street 1:22606 HEATHER WAY CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-3663
Practice Address - Country:US
Practice Address - Phone:317-450-3121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist