Healthcare Provider Details

I. General information

NPI: 1134376460
Provider Name (Legal Business Name): HOLMES PHYSICAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 03/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 2ND ST SW SUITE 115
ROCHESTER MN
55902-4156
US

IV. Provider business mailing address

2001 2ND ST SW SUITE 115
ROCHESTER MN
55902-4156
US

V. Phone/Fax

Practice location:
  • Phone: 507-424-0678
  • Fax: 202-379-1738
Mailing address:
  • Phone: 507-424-0678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7154
License Number StateMN

VIII. Authorized Official

Name: MR. JOSHUA AARON HOLMES
Title or Position: OWNER
Credential: PT
Phone: 507-424-0678