| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RODERICK ELLIOTT HOWARD | 1356968192 | 2020-06-27 |
Roderick Elliott Howard is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356968192. Registration indicates Roderick Elliott Howard is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Roderick Elliott Howard AM |
| Practice Office Address | 43 CLAY ST APT 4 FAIRBURN, GA US |
| Practice Office Telephone | 6788665685 |
| Mailing Address | 43 CLAY ST APT 4 FAIRBURN, GA 302131440 US |
| Business Telephone | 6788665685 |
| Code | Practice | License No State |
|---|---|---|
| 225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 009770
GA |