Provider Demographics
NPI:1518411057
Name:HOLOUBEK, FRANK
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:HOLOUBEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 E HARTSON AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-3341
Mailing Address - Country:US
Mailing Address - Phone:509-964-8043
Mailing Address - Fax:
Practice Address - Street 1:1625 E HARTSON AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-3341
Practice Address - Country:US
Practice Address - Phone:509-964-8043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-13
Last Update Date:2016-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist