Doctor Name: | MR. KEVIN DEAN HOLT |
NPI Number: | 1659704120 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. P.T. |
License Number: | PT1846 |
Business Practice Address: | 310 Mid Continent Plz Ste 185 West Memphis, AR - 723011700 |
Business Phone Number: | 8707322828 |
Business Fax Number: | |
Mailing Address: | 1002 Georgetown Cv, WEST MEMPHIS |
State: | AR |
Postal Code: | 723013863 |
Phone Number: | 8707328710 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2013 |
NPI Last Update Date: | 08/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1846 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |