Provider Demographics
NPI:1477151876
Name:HOLMES, TONI (HAIR LOSS SPECIALIST)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 SPRING GROVE LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-2946
Mailing Address - Country:US
Mailing Address - Phone:513-912-8868
Mailing Address - Fax:
Practice Address - Street 1:1841 SPRING GROVE LN
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-2946
Practice Address - Country:US
Practice Address - Phone:513-912-8868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management