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NPI Code Detail

MEDICARE: ISAAC HOLTZ DPT

MEDICARE: ISAAC HOLTZ DPT
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
1225100000XPhysical Therapist11-06954KS

General Provider Information

NPI Number : 1306591359
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAC HOLTZ DPT
Provider Business Mailing Address
First Line : 9139 RENNER BLVD APT 920
Second Line :
City : LENEXA
State : KS
Zip : 66219-1773
Country : US
Telephone Number : 319-480-9007
Fax Number :
Provider Business Practice Location Address
First Line : 2113 E KANSAS CITY RD
Second Line :
City : OLATHE
State : KS
Zip : 66061-7050
Country : US
Telephone Number : 913-791-0144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2022
Last Update Date : 02/18/2022

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