Healthcare Provider Details
I. General information
NPI: 1801023437
Provider Name (Legal Business Name): NICOLE LYNN HOWE LMT, MT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/22/2009
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5447 RUDDY CT.
CINCINNATI OH
45239-7232
US
IV. Provider business mailing address
5447 RUDDY CT.
CINCINNATI OH
45239-7232
US
V. Phone/Fax
- Phone: 513-597-4030
- Fax:
- Phone: 321-278-1207
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | 33.025379 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | 32379 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 173C00000X |
| Taxonomy | Reflexologist |
| License Number | MA32379 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: