Healthcare Provider Details

I. General information

NPI: 1851218283
Provider Name (Legal Business Name): KAITLYN HOLMES PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 SAINT MICHAELS DR STE A201
SANTA FE NM
87505-7644
US

IV. Provider business mailing address

435 SAINT MICHAELS DR STE A201
SANTA FE NM
87505-7644
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-5629
  • Fax: 505-372-7964
Mailing address:
  • Phone: 505-982-5629
  • Fax: 505-372-7964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-2026-0203
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: