Provider Demographics
NPI:1417411430
Name:VANHOOSE, HOLLY (MS, CTRS)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:VANHOOSE
Suffix:
Gender:F
Credentials:MS, CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 WATSON RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-3350
Mailing Address - Country:US
Mailing Address - Phone:517-648-3068
Mailing Address - Fax:
Practice Address - Street 1:1111 WATSON RD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-3350
Practice Address - Country:US
Practice Address - Phone:517-648-3068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist