Provider Demographics
NPI:1720476534
Name:DAY, HOLLY
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2552 NE TURNER AVE
Mailing Address - Street 2:LOT 25
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-5905
Mailing Address - Country:US
Mailing Address - Phone:850-890-3531
Mailing Address - Fax:
Practice Address - Street 1:2552 NE TURNER AVE
Practice Address - Street 2:LOT 25
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-5905
Practice Address - Country:US
Practice Address - Phone:850-890-3531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-31
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
FLMA59456225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist