Healthcare Provider Details

I. General information

NPI: 1558440867
Provider Name (Legal Business Name): BARBARA A HOWARD RMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73527 160TH ST
SAINT ANTHONY IA
50239-8703
US

IV. Provider business mailing address

73527 160TH ST
SAINT ANTHONY IA
50239-8703
US

V. Phone/Fax

Practice location:
  • Phone: 641-487-7614
  • Fax:
Mailing address:
  • Phone: 641-487-7614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number03718
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: