Individual
HOLLY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-03661
KS
225100000X
Physical Therapist
Primary
2006032398
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-03661
PT LICENSE NUMBER
KS
01
—
2006032398
PT LICENSE NUMBER
MO
Enumeration date
03/23/2007
Last updated
09/25/2024
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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