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NPI 1538642368

NPI 1538642368 : KATHRYN TAYLOR HOLLAND PT, DPT : FREDERICKSBURG, TX

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General NPI Number Information
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    NPI Number           |    1538642368
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    Entity Type          |    Individual 
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    Provider Name        |    KATHRYN TAYLOR HOLLAND PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/07/2018
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    Last Update Date     |    06/19/2025
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Provider Practice Location Address
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    Address Line         |    815 S MILAM ST 
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    City                 |    FREDERICKSBURG
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    State                |    TX
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    Zip                  |    78624-4789
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    Country              |    US
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    Telephone            |    830-205-1470
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2671 
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    City                 |    FREDERICKSBURG
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    State                |    TX
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    Zip                  |    78624-1924
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    Country              |    US
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    Telephone            |    602-757-4631
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    Fax                  |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1305225
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    License Number State |    TX
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