Provider Demographics
NPI:1730357369
Name:HOLD, BRIAN KEITH (PT)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:KEITH
Last Name:HOLD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10722 RAIN LILLY PASS
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6924
Mailing Address - Country:US
Mailing Address - Phone:727-534-8014
Mailing Address - Fax:813-929-0170
Practice Address - Street 1:37411 EILAND BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-1800
Practice Address - Country:US
Practice Address - Phone:727-534-8014
Practice Address - Fax:813-929-0170
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-17
Last Update Date:2008-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT15080225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist