Organization
HOLT THERAPY AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN DEAN HOLT M. S. (OWNER/PHYSICAL THERAPIST)
(870) 732-2828
Entity
Organization
Contact information
Practice address
310 MID CONTINENT PLZ STE 185, WEST MEMPHIS, AR 72301-1700
(870) 732-2828
(870) 732-1727
Mailing address
310 MID CONTINENT PLZ STE 185, WEST MEMPHIS, AR 72301-1700
(870) 732-2828
(870) 732-1727
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
PT1846
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891128260
MEDI-PAK
AR
Enumeration date
08/20/2013
Last updated
03/03/2015
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