Provider Demographics
NPI:1457493850
Name:HOWELL WALLS, ANNE MARTHA (MS OTRL)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARTHA
Last Name:HOWELL WALLS
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:H
Other - Last Name:WALLS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:846 THREE FORKS RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475
Mailing Address - Country:US
Mailing Address - Phone:859-624-1715
Mailing Address - Fax:
Practice Address - Street 1:846 THREE FORKS RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475
Practice Address - Country:US
Practice Address - Phone:859-624-1715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKYR2659225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist