Provider Demographics
NPI:1235606179
Name:HOWARD, FELICITY DOMONICK
Entity Type:Individual
Prefix:
First Name:FELICITY
Middle Name:DOMONICK
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1493 CIDER HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-8761
Mailing Address - Country:US
Mailing Address - Phone:901-850-6914
Mailing Address - Fax:
Practice Address - Street 1:1168 VICKERY LN # 211
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-1664
Practice Address - Country:US
Practice Address - Phone:901-438-0847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management