Individual
JAMIE MICHELLE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Contact information
Practice address
2965 N GERMANTOWN RD STE 124, BARTLETT, TN 38133-4055
(901) 683-8787
(901) 683-2100
Mailing address
999 HARBOR CLUB CIR E APT 201, MEMPHIS, TN 38103-5803
(703) 231-2701
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
22725
FL
225100000X
Physical Therapist
870574
DC
225100000X
Physical Therapist
Primary
9446
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811859100
—
FL
05
—
891743400
—
FL
Enumeration date
01/03/2007
Last updated
02/19/2013
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