Provider Demographics
NPI:1972552685
Name:PHELPS, HOWARD FLOYD (NMT)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:FLOYD
Last Name:PHELPS
Suffix:
Gender:M
Credentials:NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4370 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 151
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3412
Mailing Address - Country:US
Mailing Address - Phone:941-922-2929
Mailing Address - Fax:941-921-5160
Practice Address - Street 1:4370 S TAMIAMI TRL
Practice Address - Street 2:SUITE 151
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3412
Practice Address - Country:US
Practice Address - Phone:941-922-2929
Practice Address - Fax:941-921-5160
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA44126225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist