Provider Demographics
NPI:1306826565
Name:LARRABEE, HOLLY READ (PT)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:READ
Last Name:LARRABEE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 HERITAGE CIR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3553
Mailing Address - Country:US
Mailing Address - Phone:828-713-0560
Mailing Address - Fax:865-951-7273
Practice Address - Street 1:8501 S NORTHSHORE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-8591
Practice Address - Country:US
Practice Address - Phone:865-406-7129
Practice Address - Fax:865-951-7273
Is Sole Proprietor?:No
Enumeration Date:2006-01-21
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5080225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3652971Medicaid
TN3652971Medicaid