Provider Demographics
NPI:1831144807
Name:HOWE, DONAVON TODD (PT)
Entity Type:Individual
Prefix:
First Name:DONAVON
Middle Name:TODD
Last Name:HOWE
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 1:2020 GUNBARREL RD STE 408
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2663
Mailing Address - Country:US
Mailing Address - Phone:423-238-1127
Mailing Address - Fax:423-238-1277
Practice Address - Street 1:2020 GUNBARREL RD STE 408
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-2663
Practice Address - Country:US
Practice Address - Phone:423-238-1127
Practice Address - Fax:423-238-1277
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0446652Medicaid
TN3156797OtherGROUP NUMBER
TN0446652Medicaid