Provider Demographics
NPI:1154096741
Name:HOWARD, MELISSA (PT, DTP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PT, DTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3431 BROADMEAD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-3702
Mailing Address - Country:US
Mailing Address - Phone:806-252-4553
Mailing Address - Fax:
Practice Address - Street 1:1418 HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-4249
Practice Address - Country:US
Practice Address - Phone:713-553-7322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-16
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1206916225100000X, 2251N0400X, 2251P0200X
2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology