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NPI Code Detail

MEDICARE: MISS HOLLY PAIGE WEBSTER

MEDICARE: MISS HOLLY PAIGE WEBSTER
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
1225200000XPhysical Therapy Assistant2074103TX

General Provider Information

NPI Number : 1487702247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HOLLY PAIGE WEBSTER
Provider Business Mailing Address
First Line : 23319 CR 2116
Second Line :
City : TROUP
State : TX
Zip : 75789-5716
Country : US
Telephone Number : 256-626-8337
Fax Number :
Provider Business Practice Location Address
First Line : 1401 RICE RD
Second Line :
City : TYLER
State : TX
Zip : 75703-3233
Country : US
Telephone Number : 903-561-6060
Fax Number : 256-832-2004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 06/25/2023

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Directions to “ MISS HOLLY PAIGE WEBSTER ” Practice Location

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