Johnathan Holman, PTA

Physical Therapy Assistant · Bloomer, WI

Individual Active NPI

NPI number 1114255064

Practice location

1402 Main St
Box 176
Bloomer, WI 54724-1637
Phone
(715) 568-4669
Fax
(715) 568-4673

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NPI record

NPI
1114255064
Entity type
Individual (Type 1)
Enumeration date
December 3, 2009
Last updated
December 3, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 1216-019 WI

Mailing address

1402 Main St
PO Box 176
Bloomer, WI 54724-1637
Phone
(715) 568-4669
Fax
(715) 568-4673

About Johnathan Holman

Johnathan Holman, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1402 Main St, Box 176, Bloomer, WI 54724-1637. The NPI number 1114255064 was assigned on December 3, 2009 and the record was last updated on December 3, 2009.

Johnathan Holman lists a license in the registry: #1216-019 (WI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Johnathan Holman, PTA?

The NPI number is 1114255064.

What is the phone number of Johnathan Holman?

The phone number listed for the practice location is (715) 568-4669.

Where is Johnathan Holman located?

1402 Main St, Box 176, Bloomer, WI 54724-1637.

What is the taxonomy code for Johnathan Holman?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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