Provider Demographics
NPI:1376207357
Name:HOWE, MATTHEW CHARLES (LMT, MT)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:CHARLES
Last Name:HOWE
Suffix:
Gender:M
Credentials:LMT, MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5447 RUDDY CT.
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7232
Mailing Address - Country:US
Mailing Address - Phone:321-217-3970
Mailing Address - Fax:
Practice Address - Street 1:5447 RUDDY CT.
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7232
Practice Address - Country:US
Practice Address - Phone:407-308-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.024889225700000X
FL32205225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist