Holly Deanna, PTA
NPI #1689246324 in Smithville, Missouri
Provider Information
- NPI Number
- 1689246324
- Entity Type
- Individual
- Name
- Holly Deanna, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 13, 2021
- Last Updated
- Aug 3, 2021
Practice Location
- Address
- 17603 MISSION RDG
- City
- Smithville
- State
- Missouri
- ZIP Code
- 64089-8005
- Phone
- (636) 541-0980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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