# MATTHEW IAN HOLBROOK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235884180
- **Gender:** Man
- **Credential:** LPA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 293310 | KY | Yes |
| 2255A2300X | Athletic Trainer | — | NULL | — |
| 2279P1005X | Pulmonary Rehabilitation Registered Respiratory Therapist | — | NULL | — |

## Other

- **Enumeration date:** 02/18/2022
- **Last updated:** 11/01/2024