Provider Demographics
NPI:1821243205
Name:HOLLOWELL, DAVID JAY (PT, MPT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JAY
Last Name:HOLLOWELL
Suffix:
Gender:M
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2564
Mailing Address - Country:US
Mailing Address - Phone:423-238-8907
Mailing Address - Fax:423-362-8684
Practice Address - Street 1:1615 STATE HIGHWAY 17 STE 9
Practice Address - Street 2:
Practice Address - City:YOUNG HARRIS
Practice Address - State:GA
Practice Address - Zip Code:30582-1880
Practice Address - Country:US
Practice Address - Phone:706-896-2771
Practice Address - Fax:706-896-2772
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11831225100000X
GAPT012928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist