Provider Demographics
NPI:1265887095
Name:HOWELL, RACHEL (MS, ATC, LAT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2618 ELLA LN
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-5203
Mailing Address - Country:US
Mailing Address - Phone:580-309-3579
Mailing Address - Fax:
Practice Address - Street 1:2618 ELLA LN
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-5203
Practice Address - Country:US
Practice Address - Phone:580-309-3579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK8482255A2300X
TX51372255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer