Provider Demographics
NPI:1710030093
Name:HOW, MICHAEL HENRY (PT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:HENRY
Last Name:HOW
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 CASS ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4548
Mailing Address - Country:US
Mailing Address - Phone:831-375-1135
Mailing Address - Fax:831-375-1520
Practice Address - Street 1:980 CASS ST
Practice Address - Street 2:SUITE A
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4548
Practice Address - Country:US
Practice Address - Phone:831-375-1135
Practice Address - Fax:831-375-1520
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT17793174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT17793OtherBLUE SHIELD
CAPT17793OtherBLUE SHIELD