Individual
KIRK HOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
907 S AUBURN ST, KENNEWICK, WA 99336-5662
(509) 582-0429
(509) 582-1182
Mailing address
824 W LEWIS ST STE 204, PASCO, WA 99301-5561
(509) 544-0265
(509) 544-0304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006198
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101550
LABOR AND INDUSTRIES
WA
05
—
8334963
—
WA
Enumeration date
03/12/2007
Last updated
10/03/2007
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