Organization
TK HOWELL ENTERPRISES INC
Active
Other names
Howell Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN ANGELA HOWELL P.T. (OWNER, PHYSICAL THERAPIST)
(208) 336-9755
Entity
Organization
Contact information
Practice address
539 S FITNESS PL, SUITE 100, EAGLE, ID 83616-6552
(208) 336-9755
(208) 336-8605
Mailing address
539 S FITNESS PL, SUITE 100, EAGLE, ID 83616-6552
(208) 336-9755
(208) 336-8605
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2078931
FIRST HEALTH
ID
01
—
5426929
CCN
ID
01
—
T-0213
BLUE CROSS IDAHO GROUP #
ID
Enumeration date
09/29/2006
Last updated
08/22/2020
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