Provider Demographics
NPI:1134376460
Name:HOLMES PHYSICAL THERAPY INC.
Entity type:Organization
Organization Name:HOLMES PHYSICAL THERAPY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:507-424-0678
Mailing Address - Street 1:2001 2ND ST SW
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-4156
Mailing Address - Country:US
Mailing Address - Phone:507-424-0678
Mailing Address - Fax:
Practice Address - Street 1:2001 2ND ST SW
Practice Address - Street 2:SUITE 115
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-4156
Practice Address - Country:US
Practice Address - Phone:507-424-0678
Practice Address - Fax:202-379-1738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7154225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty