Provider Demographics
NPI:1497926703
Name:CUTRIGHT, HOLLY NOELLE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:NOELLE
Last Name:CUTRIGHT
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DAVIS AND ELKINS ST
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-3790
Mailing Address - Country:US
Mailing Address - Phone:304-704-6032
Mailing Address - Fax:
Practice Address - Street 1:1 DAVIS AND ELKINS ST
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-3790
Practice Address - Country:US
Practice Address - Phone:304-704-6032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV002566225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist