Provider Demographics
NPI:1083982292
Name:HOWE, MATTHEW AARON (ATC)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:AARON
Last Name:HOWE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KELLOGG CIR # 4013
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-5087
Mailing Address - Country:US
Mailing Address - Phone:620-341-5499
Mailing Address - Fax:
Practice Address - Street 1:1 KELLOGG CIR # 4013
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-5415
Practice Address - Country:US
Practice Address - Phone:620-341-5499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS24-004402255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer