# HOLLY WAITES

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

## Provider details

- **NPI number:** 1265749295
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 225200000X | Physical Therapy Assistant | 8397 | CA | — |

## Other

- **Enumeration date:** 09/13/2010
- **Last updated:** 06/15/2026