Provider Demographics
NPI:1598914301
Name:HOLSING, ROSS RYAN (DPT)
Entity Type:Individual
Prefix:MR
First Name:ROSS
Middle Name:RYAN
Last Name:HOLSING
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12565 WEST CENTER ROAD, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144
Mailing Address - Country:US
Mailing Address - Phone:402-346-7772
Mailing Address - Fax:402-344-6552
Practice Address - Street 1:12565 WEST CENTER ROAD, SUITE 130
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144
Practice Address - Country:US
Practice Address - Phone:402-346-7772
Practice Address - Fax:402-344-6552
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE26572251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE$$$$$$$$$00Medicaid