Provider Demographics
NPI:1013115567
Name:NEWTON, HOLLY MCCROSKEY (PT)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:MCCROSKEY
Last Name:NEWTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:HOLLY
Other - Middle Name:LANSE
Other - Last Name:MCCROSKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6802 N 10TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013
Mailing Address - Country:US
Mailing Address - Phone:602-279-9641
Mailing Address - Fax:
Practice Address - Street 1:350 E DUNLAP
Practice Address - Street 2:
Practice Address - City:PHX SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85020
Practice Address - Country:US
Practice Address - Phone:602-870-6060
Practice Address - Fax:602-870-6058
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist