Provider Demographics
NPI:1083224331
Name:HOLLADAY, DEVIN CLAY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:CLAY
Last Name:HOLLADAY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:2463 HAMILTON MILL PKWY STE 250
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-4647
Practice Address - Country:US
Practice Address - Phone:770-932-9521
Practice Address - Fax:770-932-9523
Is Sole Proprietor?:No
Enumeration Date:2020-08-02
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARCP0044907225100000X
VA2305213582225100000X
GAPT015090225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist