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NPI Code Detail

MEDICARE: HOLLY CREGAN MA, LAT, ATC, CPT

MEDICARE: HOLLY CREGAN MA, LAT, ATC, CPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerLAT-4791NC
22255A2300XAthletic Trainer

General Provider Information

NPI Number : 1366075855
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY CREGAN MA, LAT, ATC, CPT
Provider Business Mailing Address
First Line : 2349 PRYTANIA CIR
Second Line :
City : NAVARRE
State : FL
Zip : 32566-2843
Country : US
Telephone Number : 850-226-2331
Fax Number :
Provider Business Practice Location Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 850-226-2331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2020
Last Update Date : 01/13/2026

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