Healthcare Provider Details

I. General information

NPI: 1568372654
Provider Name (Legal Business Name): HOLLY MICHELLE OLMSTEAD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17111 G DR N
MARSHALL MI
49068-9621
US

IV. Provider business mailing address

22541 BEDFORD RD N
BATTLE CREEK MI
49017-8845
US

V. Phone/Fax

Practice location:
  • Phone: 269-781-5141
  • Fax:
Mailing address:
  • Phone: 269-317-0962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: