Provider Demographics
NPI:1730505611
Name:HOLLIDAY, KATHERINE E (DPT)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:E
Last Name:HOLLIDAY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-0858
Mailing Address - Country:US
Mailing Address - Phone:540-419-9987
Mailing Address - Fax:
Practice Address - Street 1:9445 ALDER DR
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-4159
Practice Address - Country:US
Practice Address - Phone:540-419-9987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305208533225100000X
FL28870225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist