Provider Demographics
NPI:1861741704
Name:HOWELL, MEGAN (RMT)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:MRS
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:FENTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1095
Mailing Address - Street 2:
Mailing Address - City:PALMER LAKE
Mailing Address - State:CO
Mailing Address - Zip Code:80133-1095
Mailing Address - Country:US
Mailing Address - Phone:719-641-4784
Mailing Address - Fax:
Practice Address - Street 1:2020 W COLORADO AVE
Practice Address - Street 2:SUITE 101A
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-3882
Practice Address - Country:US
Practice Address - Phone:719-641-4784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3047225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist