| NPI | 1093081366 |
|---|---|
| Former Name | HOLLY BETH TREADWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05160) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 2401079) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2017-01-25 |