Provider Demographics
NPI:1376157636
Name:HOWTON, CAROLYN (ATC)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:HOWTON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-5838
Mailing Address - Country:US
Mailing Address - Phone:720-369-6122
Mailing Address - Fax:
Practice Address - Street 1:1630 HIGHWAY 91 W
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-9284
Practice Address - Country:US
Practice Address - Phone:870-919-5239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAT9282255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer