| Doctor Name: | KYLE AARON HOLBROOK |
| NPI Number: | 1003248923 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT, NCS |
| License Number: | 2400 |
| Business Practice Address: | 600 N Robbins Rd Boise, ID - 837024565 |
| Business Phone Number: | 2084894444 |
| Business Fax Number: | |
| Mailing Address: | 2171 S Myers Pl, BOISE |
| State: | ID |
| Postal Code: | 837065503 |
| Phone Number: | 2089082359 |
| Fax Number: | |
| NPI Enumeration Date: | 08/01/2013 |
| NPI Last Update Date: | 08/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251N0400X |
| License Number: | 2400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Neurology |
| Taxonomy Definition: | |