Provider Demographics
NPI:1023374402
Name:HOWSER, WHITNEY ELAINE (MS, ATC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ELAINE
Last Name:HOWSER
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 DOUGLAS DR
Mailing Address - Street 2:LINGLE HALL 118
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62901-4332
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1490 DOUGLAS DR
Practice Address - Street 2:LINGLE HALL 118
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-4332
Practice Address - Country:US
Practice Address - Phone:618-463-4162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0960028092255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer