Individual
TIMOTHY ELI HOLMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C, ATC, CSCS
Contact information
Practice address
825 SE BISHOP BLVD STE 120, PULLMAN, WA 99163-5517
(509) 332-2828
(509) 334-7474
Mailing address
825 SE BISHOP BLVD STE 120, PULLMAN, WA 99163-5517
(509) 332-2828
(509) 334-7474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
PA-2514
ID
363A00000X
Physician Assistant
PA60197224
WA
363AM0700X
Medical Physician Assistant
PA-2514
ID
363AM0700X
Medical Physician Assistant
Primary
PA60197224
WA
363AS0400X
Surgical Physician Assistant
PA 60197224
WA
363AS0400X
Surgical Physician Assistant
PA-2514
ID
Other
Enumeration date
10/31/2006
Last updated
04/09/2026
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