Russell E Howard, PTA

NPI #1154103554 in Lake Stevens, Washington

Provider Information

NPI Number: 1154103554
Entity Type: Individual
Name: Russell E Howard, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 19, 2023
Last Updated: Oct 19, 2023

Practice Location

Address: 3503 BRYCE DR
City: Lake Stevens
State: Washington
ZIP Code: 98258-8058
Phone: (425) 268-7884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation	208100000X
Physical Therapy Assistant	225200000X	Primary

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