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NPI Code Detail

MEDICARE: MRS. CONNIE A HOWARD PT

MEDICARE: MRS. CONNIE A HOWARD PT
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
1225100000XPhysical Therapist11-03450KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11770560963OTHERKSNPI

General Provider Information

NPI Number : 1770560963
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CONNIE A HOWARD PT
Provider Business Mailing Address
First Line : 1209 CHESTNUT ST
Second Line : PO BOX 29
City : HALSTEAD
State : KS
Zip : 67056-2347
Country : US
Telephone Number : 316-680-8192
Fax Number :
Provider Business Practice Location Address
First Line : 119 W 2ND ST
Second Line :
City : HALSTEAD
State : KS
Zip : 67056-1604
Country : US
Telephone Number : 316-680-8192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 08/27/2015

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Directions to “ MRS. CONNIE A HOWARD PT” Practice Location

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