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Individual

KEVIN RICHARD HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, OCS

Contact information

Practice address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 543-0617
(406) 728-1085
Mailing address
2740 SOUTH AVE W STE 101, MISSOULA, MT 59804-5137
(406) 543-0617
(406) 728-1085

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06545
OR
225100000X
Physical Therapist
Primary
17169
MT

Other

Enumeration date
06/13/2011
Last updated
08/14/2019
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