Basic Information
| Provider Information | |||||||||
| NPI: | 1811169170 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LOWDER | ||||||||
| FirstName: | TODD | ||||||||
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| Credential: | MPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4465 W 9980 N | ||||||||
| Address2: | |||||||||
| City: | CEDAR HILLS | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840628923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8014923742 | ||||||||
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| Practice Location | |||||||||
| Address1: | 911 N 800 W | ||||||||
| Address2: | |||||||||
| City: | OREM | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840578401 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8014264905 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2008 | ||||||||
| LastUpdateDate: | 03/27/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 6221191-2401 | UT | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.