Individual
STEPHEN KEITH HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2205 5TH ST N, COLUMBUS, MS 39705-2211
(662) 243-1097
(662) 243-1095
Mailing address
2205 5TH ST N, COLUMBUS, MS 39705-2211
(662) 243-1097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2348
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015582
—
MS
Enumeration date
08/11/2006
Last updated
02/25/2013
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