Individual
JALISA HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 WEYBURN RD, COLUMBUS, OH 43232-4824
(614) 704-0641
Mailing address
2621 WEYBURN RD, COLUMBUS, OH 43232-4824
(614) 704-0641
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
2255A2300X
Athletic Trainer
Primary
TZ464275
OH
Other
Enumeration date
06/26/2020
Last updated
02/19/2026
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