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Michael Holmes, LAT, ATC
NPI 1386095412 · on the registry since 2016
Practice
- Address
- 3946 Ice Way
Fort Wayne, IN 46805 - Phone
- (260) 266-4005
- Clinicians at this address
- 92
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
2255A2300X - Licence states on file
- TX, CO, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana