Provider Demographics
NPI:1588044416
Name:HOWARD, SCOTT (ATC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:HOWARD
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BULLS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH KENT
Mailing Address - State:CT
Mailing Address - Zip Code:06785-1199
Mailing Address - Country:US
Mailing Address - Phone:908-477-0353
Mailing Address - Fax:
Practice Address - Street 1:40 BULLS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:SOUTH KENT
Practice Address - State:CT
Practice Address - Zip Code:06785-1199
Practice Address - Country:US
Practice Address - Phone:908-477-0353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-05
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY67 0028462255A2300X
NJ25MT001944002255A2300X
CT15062255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer