Basic Information
| Provider Information | |||||||||
| NPI: | 1730511767 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOWENSTINE | ||||||||
| FirstName: | KATELYN | ||||||||
| MiddleName: | SPENCER | ||||||||
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| Credential: | PT, DPT, SCS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2603 LOWER GAINESVILLE ROAD | ||||||||
| Address2: | |||||||||
| City: | STENNIS SPACE CENTER | ||||||||
| State: | MS | ||||||||
| PostalCode: | 395290001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2288134004 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 BREWSTER BLVD | ||||||||
| Address2: | |||||||||
| City: | CAMP LEJEUNE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 285472538 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9104504750 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2013 | ||||||||
| LastUpdateDate: | 03/18/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT.014426 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 2251S0007X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports |
No ID Information.