Provider Demographics
NPI:1871284935
Name:HOWELL, SARAH C (LMT, RYT, CPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:HOWELL
Suffix:
Gender:F
Credentials:LMT, RYT, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 MARKET PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7926
Mailing Address - Country:US
Mailing Address - Phone:678-341-0384
Mailing Address - Fax:
Practice Address - Street 1:1580 MARKET PLACE BLVD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7926
Practice Address - Country:US
Practice Address - Phone:678-341-0384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
GAMT010151225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach