Provider Demographics
NPI:1609768746
Name:HOWELL, CARRIE JEANNETTE
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:JEANNETTE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 KENYON ST
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-3327
Mailing Address - Country:US
Mailing Address - Phone:254-319-8024
Mailing Address - Fax:
Practice Address - Street 1:4008 E STAN SCHLUETER LOOP STE 108-109
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-8536
Practice Address - Country:US
Practice Address - Phone:254-245-8003
Practice Address - Fax:254-245-8022
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111160225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist