Provider Demographics
NPI:1669781639
Name:HOWLETT, CHARLES (CHARLES HOWLETT)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:HOWLETT
Suffix:
Gender:M
Credentials:CHARLES HOWLETT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7408 E UHLIG RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99217-9792
Mailing Address - Country:US
Mailing Address - Phone:509-842-2505
Mailing Address - Fax:
Practice Address - Street 1:520 N 3RD AVE
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1507
Practice Address - Country:US
Practice Address - Phone:208-263-1441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT 601038362251X0800X
SCPT.6160 PT2251X0800X
CAPT 346602251X0800X
CO103592251X0800X
IDPT-22332251X0800X
IL70.0177212251X0800X
MA190032251X0800X
AZ80522251X0800X
OR55172251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic