Individual
MICHELLE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
809 S WASHINGTON AVE, EMMETT, ID 83617-3528
(208) 365-5341
(208) 365-5342
Mailing address
PO BOX 2072, EAGLE, ID 83616-9111
(208) 477-7363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2554
ID
Other
Enumeration date
06/29/2023
Last updated
08/08/2023
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