Provider Demographics
NPI:1518506310
Name:HOLT, DANIEL S (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:HOLT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13838 QUAIL POINTE DR STE A
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1003
Mailing Address - Country:US
Mailing Address - Phone:405-254-7091
Mailing Address - Fax:
Practice Address - Street 1:13838 QUAIL POINTE DR STE A
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-1003
Practice Address - Country:US
Practice Address - Phone:405-254-7097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-27
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4346111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor