Individual
GARRETT HOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4460 S NOLAND RD, INDEPENDENCE, MO 64055-4743
(816) 373-2845
Mailing address
PO BOX 219297, KANSAS CITY, MO 64121-9297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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