For over 20 years, Spine West has offered high-quality, patient-centered care by multi-board-certified providers dedicated to treating the whole person, not just a single symptom or body part. Our emphasis is on a high quality of life, and we strive to "add life to years." Spine West is the largest independently owned outpatient Physiatry ...Carol Cowley, Msn, Apn/Np-Bc‧Appointments.