Individual
MR. JAMIE M HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA, CST
Contact information
Practice address
21450 ARCHWOOD CIR, FARMINGTON HILLS, MI 48336-4127
(260) 415-4440
Mailing address
538 TOBIN DR APT 101, INKSTER, MI 48141-1358
(260) 414-4440
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
5502002609
IN
225200000X
Physical Therapy Assistant
Primary
5502002609
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11231982
MEDICARE
—
05
—
11231982
—
IN
05
—
11231982
—
MI
Enumeration date
12/20/2018
Last updated
05/11/2026
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