Doctor Name: | MRS. KIMBERLEY K HOLT |
NPI Number: | 1558300657 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS, MPT |
License Number: | 2305003792 |
Business Practice Address: | 3603 Brambleton Ave Suite A Roanoke, VA - 240183611 |
Business Phone Number: | 5407749000 |
Business Fax Number: | 5407746666 |
Mailing Address: | 3603 Brambleton Ave, Suite A, ROANOKE |
State: | VA |
Postal Code: | 24018 |
Phone Number: | 5407749000 |
Fax Number: | 5407746666 |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305003792 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |