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General NPI Number Information
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NPI Number | 1437227428
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Entity Type | Individual
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Provider Name | THOMAS W. HOLT D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 2501 SE MILE HILL DR STE. 103
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City | PORT ORCHARD
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State | WA
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Zip | 98366-3500
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Country | US
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Telephone | 360-874-0232
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Fax | 360-874-0658
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Provider Business Mailing Address
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Address Line | 2501 SE MILE HILL DR STE. 103
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City | PORT ORCHARD
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State | WA
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Zip | 98366-3500
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Country | US
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Telephone | 360-874-0232
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Fax | 360-874-0658
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | WA CH0003171
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License Number State | WA
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