MEDICARE: HANNAH HOWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	8398	ID

General Provider Information

NPI Number	:	1043939804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH HOWELL

Provider Business Mailing Address
First Line	:	1140 S COLORADO LN APT 208
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83706-6236
Country	:	US
Telephone Number	:	314-315-2844
Fax Number	:

Provider Business Practice Location Address
First Line	:	1109 W MYRTLE ST STE 200
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83702-6975
Country	:	US
Telephone Number	:	208-706-2663
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2022
Last Update Date	:	08/24/2022

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Directions to “ HANNAH HOWELL ” Practice Location

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