Doctor Name: | MICHAEL S HOLMES |
NPI Number: | 1659475960 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BSC |
License Number: | 5501009015 |
Business Practice Address: | 1381 S Patrick Dr 45th Medical Group Patrick Afb, FL - 32925 |
Business Phone Number: | 3214949325 |
Business Fax Number: | |
Mailing Address: | 1381 S Patrick Dr, 45th Medical Group PATRICK AFB |
State: | FL |
Postal Code: | 32925 |
Phone Number: | 3214949325 |
Fax Number: | 3214941378 |
NPI Enumeration Date: | 09/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501009015 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |