Healthcare Provider Details

I. General information

NPI: 1982872446
Provider Name (Legal Business Name): HOLLY ZOOK MILLIGAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HOLLY JOANNA ZOOK DPT

II. Dates (important events)

Enumeration Date: 02/18/2008
Last Update Date: 02/03/2023
Certification Date: 02/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 CORPORATE DR STE 200
LEXINGTON KY
40503-5409
US

IV. Provider business mailing address

811 CORPORATE DR STE 200
LEXINGTON KY
40503-5409
US

V. Phone/Fax

Practice location:
  • Phone: 859-333-9312
  • Fax: 620-508-2008
Mailing address:
  • Phone: 859-333-9312
  • Fax: 620-508-2008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number007684
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: