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General NPI Number Information
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NPI Number | 1558877605
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Entity Type | Organization
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Legal Business Name | HOLMES PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 2047 KEFAUVER DR STE B
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City | MILAN
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State | TN
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Zip | 38358
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Country | US
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Telephone | 731-238-1181
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Fax | 731-300-2350
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Provider Business Mailing Address
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Address Line | 2047 KEFAUVER DR STE B
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City | MILAN
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State | TN
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Zip | 38358-3458
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Country | US
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Telephone | 731-238-1181
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Fax | 731-300-2350
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | DR. HOWELL SCOTT HOLMES JR.
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Credential | PT
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Telephone | 731-238-1181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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