Brian Holaday
Individual provider Active NPI Physical Therapy Assistant · Cameron, MO
NPI 1851789374 · NPPES record last updated Jan 6, 2015
Key facts
- NPI
- 1851789374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2013041292 (MO)
- Practice address
- 801 Euclid Ave
Cameron, MO 64429-2003 - Phone
- (816) 596-6870
- NPI assigned
- Jan 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-02561 | KS | MD | Physical Therapy Assistant |
| 2013041292 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2013041292 | MO | Yes |
| Physical Therapy Assistant | 225200000X | 14-02561 | KS |
Addresses
Primary practice location
801 Euclid Ave
Cameron, MO 64429-2003
Mailing address
801 Euclid Ave
Cameron, MO 64429-2003
Phone (816) 596-6870
Other providers in Cameron, MO
- Laura Leigh Harbison
- Carrie Harms
- Heartland Hearing Center
- Carisa Kay Hemerson
- Kirby Herbert
- Melissa L Holloway
- Kelly Holmes
- Melissa Hopper
- Ibs Partners LLC
- Dwight C Jackson II
All providers in Cameron, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.