Provider Demographics
NPI:1497120703
Name:HOLMES, KEVIN ROBERT (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ROBERT
Last Name:HOLMES
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 1:14000 E ARAPAHOE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4044
Mailing Address - Country:US
Mailing Address - Phone:720-497-6110
Mailing Address - Fax:720-497-6739
Practice Address - Street 1:14000 E ARAPAHOE RD STE 110
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-4044
Practice Address - Country:US
Practice Address - Phone:720-497-6110
Practice Address - Fax:720-497-6739
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13702225100000X
COPTL.0013702225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty