| Doctor Name: | BRANDON K. HOLLIS |
| NPI Number: | 1740241611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, LATC |
| License Number: | 6042 |
| Business Practice Address: | 7720 Us Highway 98 W Suite 220 Destin, FL - 325507230 |
| Business Phone Number: | 8506225192 |
| Business Fax Number: | 8506225196 |
| Mailing Address: | 270 Whispering Lake Dr, SANTA ROSA BEACH |
| State: | FL |
| Postal Code: | 324594284 |
| Phone Number: | 7312344962 |
| Fax Number: | 8506225196 |
| NPI Enumeration Date: | 03/30/2006 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6042 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| 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 |