Individual
PAYTON HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 OLD MAIN, UNIVERSITY PARK, PA 16802-1503
(443) 472-3834
Mailing address
8637 GOLDENSTRAW LN, COLUMBIA, MD 21045-4906
(443) 472-3834
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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