Individual
ACACIA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1025 E 7TH ST, BLOOMINGTON, IN 47405-7109
(414) 418-5226
Mailing address
545 S PARK RIDGE RD APT 11304, BLOOMINGTON, IN 47401-8315
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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