Provider Demographics
NPI:1386970945
Name:HOWELL, TRAVIS T (DC)
Entity type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:T
Last Name:HOWELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4929 UTICA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-3063
Mailing Address - Country:US
Mailing Address - Phone:563-424-1816
Mailing Address - Fax:563-424-1817
Practice Address - Street 1:4929 UTICA RIDGE RD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807
Practice Address - Country:US
Practice Address - Phone:563-424-1816
Practice Address - Fax:563-424-1817
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011826111N00000X
MDS03653111N00000X
IA007251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor