| Organization Name: | HUMBLE HEALINGS PHYSICAL THERAPY & MASSAGE, LLC |
| NPI Number: | 1336516152 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONNIE HOWARD (CEO) |
| Mailing Address: | 119 W 2nd St Halstead |
| State: | KS US |
| Postal Code: | 670561604 |
| Phone Number: | 3166808192 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2015 |
| NPI Last Update Date: | 08/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 11-03450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |