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NPI Code Detail

MEDICARE: ISAAC JEFFREY HOWERTON

MEDICARE:   ISAAC JEFFREY HOWERTON
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
12255A2300XAthletic TrainerMO

General Provider Information

NPI Number : 1396603189
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAC JEFFREY HOWERTON
Provider Business Mailing Address
First Line : 910 N LIGHTBURNE ST
Second Line :
City : LIBERTY
State : MO
Zip : 64068-4522
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 910 N LIGHTBURNE ST
Second Line :
City : LIBERTY
State : MO
Zip : 64068-4522
Country : US
Telephone Number : 816-656-0865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ ISAAC JEFFREY HOWERTON ” Practice Location

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