Healthcare Provider Details

I. General information

NPI: 1053261073
Provider Name (Legal Business Name): KAREN LEAH HOLLAND RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W IDAHO BLVD
EMMETT ID
83617-9694
US

IV. Provider business mailing address

6552 W ELMER LN
BOISE ID
83714-2300
US

V. Phone/Fax

Practice location:
  • Phone: 208-365-3597
  • Fax:
Mailing address:
  • Phone: 208-794-7564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberLRT1608
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: