Holly Kline, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4139 Issued in MN

Practice address

14884 Kirkwood Dr
Baxter, MN 56425-8451

Phone

(218) 824-5027

Fax

(218) 824-8011

NPI assigned

Mar 25, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Holly Raph Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Select Therapy, Inc.

  • Physical Therapist
  • Baxter, MN
  • NPI 1033103742
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1992947816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14884 KIRKWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258451",
            "telephone_number": "218-824-5027",
            "fax_number": "218-824-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14884 KIRKWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258451",
            "telephone_number": "218-824-5027",
            "fax_number": "218-824-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "HOLLY",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "RAPH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenifer Kinnunen
• Matt Robert Kirchner
• Jennifer Kitts, MSW, LGSW
• Karee Grace Kitzman
• Shiela Klemmetsen, M.D.
• Margaret Knebel
• Michael J Koehler, MA, LPCC
• McKinleigh Koering, CNP
• Ashley Kostek
• Kaleb Francis Kouba

• Physical Therapist in Baxter, MN
• Providers in Baxter, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.