Provider Demographics
NPI:1982872446
Name:MILLIGAN, HOLLY ZOOK (PT)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:ZOOK
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:JOANNA
Other - Last Name:ZOOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:811 CORPORATE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-5409
Mailing Address - Country:US
Mailing Address - Phone:859-333-9312
Mailing Address - Fax:620-508-2008
Practice Address - Street 1:811 CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-5409
Practice Address - Country:US
Practice Address - Phone:859-333-9312
Practice Address - Fax:620-508-2008
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007684225100000X, 225100000X
KS11-03749225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist