Provider Demographics
NPI:1093885030
Name:HOWKE, BRENDA J (PT)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:J
Last Name:HOWKE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:BRENDA
Other - Middle Name:JEAN
Other - Last Name:STUBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:500 12TH AVE W STE 2A
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59912-3855
Mailing Address - Country:US
Mailing Address - Phone:406-471-1117
Mailing Address - Fax:406-309-2076
Practice Address - Street 1:55 HERITAGE WAY
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-3100
Practice Address - Country:US
Practice Address - Phone:406-471-9910
Practice Address - Fax:406-309-2076
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02133225100000X
IA1131PT225100000X
MTPTP-PT-LIC-245392251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT3400397Medicaid
MT60003OtherBLUECROSS BLUESHIELD
MT000050685Medicare ID - Type UnspecifiedPROVIDER NUMBER
MTP00068586Medicare ID - Type UnspecifiedRAILROAD MEDICARE