Provider Demographics
NPI:1861065690
Name:JAMES, HOLSEY II
Entity type:Individual
Prefix:
First Name:HOLSEY
Middle Name:
Last Name:JAMES
Suffix:II
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 1:1344 MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-1338
Mailing Address - Country:US
Mailing Address - Phone:231-260-3196
Mailing Address - Fax:
Practice Address - Street 1:1713 7TH ST
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-2426
Practice Address - Country:US
Practice Address - Phone:231-260-3196
Practice Address - Fax:231-727-0841
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation