Active NPI
Bethany Anne Howell, LMT
- Massage Therapist
- Moscow, ID
National Provider Identifier
1639630601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAS-3073
- Practice address
- 127 S Washington St Ste 6
Moscow, ID 83843-2866 - Phone
- (208) 892-6506
- NPI assigned
- Mar 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAS-3073 | ID | Primary |
Addresses
Primary practice location
127 S Washington St Ste 6
Moscow, ID 83843-2866
Mailing address
1256 SE Bishop Blvd Ste J
Pullman, WA 99163-5414
Phone (509) 332-6506
Other practice location 1
1256 SE Bishop Blvd Ste J
Pullman, WA 99163-5414
Phone (509) 332-6506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAS-3073 | ID | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553904000000",
"number": "1639630601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 SE BISHOP BLVD STE J",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635414",
"telephone_number": "509-332-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 S WASHINGTON ST STE 6",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432866",
"telephone_number": "208-892-6506"
}
],
"practiceLocations": [
{
"address_1": "1256 SE Bishop Blvd Ste J",
"address_purpose": "LOCATION",
"city": "Pullman",
"state": "WA",
"postal_code": "991635414",
"country_code": "US",
"telephone_number": "509-332-6506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOWELL",
"first_name": "BETHANY",
"middle_name": "ANNE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-30",
"last_updated": "2019-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ID",
"license": "MAS-3073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.