Doctor Name: | KELLY HOLDEN |
NPI Number: | 1205258787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 012100 |
Business Practice Address: | 621 School Dr Wadsworth, OH - 442812099 |
Business Phone Number: | 3303340705 |
Business Fax Number: | |
Mailing Address: | 621 School Dr, WADSWORTH |
State: | OH |
Postal Code: | 442812099 |
Phone Number: | 3303340705 |
Fax Number: | 3303340711 |
NPI Enumeration Date: | 01/17/2014 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 012100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |