Individual ProviderJeff R HowardPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784(763) 585-0600(763) 607-2257PECOS EnrollmentBased on the most recent information from CMS, provider Jeff R Howard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1871677617Provider TypeIndividualFull NameHoward, Jeff RCredentialPTGenderMaleSole ProprietorNoEnumeration Date10/25/2006Last Updated7/30/2014Contact InformationPractice LocationPractice Address11671 Fountains Dr Ste 200, Maple Grove, MN 55369-4784Phone(763) 585-0600FaxUnlisted FaxMailing LocationMailing Address17266 90th Ave N, Maple Grove, MN 55311-1481Phone(763) 607-2257FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense3057Minnesota