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Individual

ALLEN L HOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0215
SD
225100000X
Physical Therapist
6177
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0215
DAKOTACARE
SD
01
10F99HO
BLUE CROSS BLUE SHIELD MN
SD
01
20704
SIOUX VALLEY HEALTH PLANS
SD
01
4994835
BLUE CROSS BLUE SHIELD SD
SD
01
4998212
BLUE CROSS BLUE SHIELD SD
SD
01
4998554
BLUE CROSS BLUE SHIELD SD
SD
05
5831602
SD
05
5831606
SD
01
64-04050
MEDICA
SD
01
64-05331
MEDICA
SD
01
64-07183
MEDICA
SD
01
64-07563
MEDICA
SD
01
793621
ARAZ
SD
01
O3S71HO
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
09/22/2005
Last updated
07/13/2026
Update your record

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