MEDICARE: DR. SHELBY JESSICA HOLT DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	16553	TX

General Provider Information

NPI Number	:	1033051362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELBY JESSICA HOLT DC

Provider Business Mailing Address
First Line	:	537 APPALACHIAN TRL
Second Line	:
City	:	LEANDER
State	:	TX
Zip	:	78641-3870
Country	:	US
Telephone Number	:	502-777-3174
Fax Number	:

Provider Business Practice Location Address
First Line	:	1490 RUSK RD
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-3305
Country	:	US
Telephone Number	:	512-520-7607
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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