Healthcare Provider Details

I. General information

NPI: 1568393403
Provider Name (Legal Business Name): TAYLOR ROSE HOLST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11211 E ARAPAHOE RD STE 118
CENTENNIAL CO
80112-3851
US

IV. Provider business mailing address

4203 MARTINSON DR
LOVELAND CO
80537-3212
US

V. Phone/Fax

Practice location:
  • Phone: 720-791-2881
  • Fax:
Mailing address:
  • Phone: 720-394-3787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0021312
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: