Provider Demographics
NPI:1861682486
Name:HOWELL, PAULA FAY (LMT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:FAY
Last Name:HOWELL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:HOWELL
Other - Last Name:BLACKWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:10506 BAR D TRL
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4057
Mailing Address - Country:US
Mailing Address - Phone:210-695-8504
Mailing Address - Fax:
Practice Address - Street 1:7330 SAN PEDRO
Practice Address - Street 2:SUITE 130
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6235
Practice Address - Country:US
Practice Address - Phone:210-349-0550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT037296225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist