IndividualActive
Katie Holly
NPI 1407301070 · Mechanotherapist · Newport Beach, CA
Provider details
- NPI number
- 1407301070
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 18516 (CA)
Practice location
20072 Sw Birch St Ste 190
Newport Beach, CA 92660-0799
Phone: (949) 673-8088
Mailing address
851 Domingo Dr Apt 24
Newport Beach, CA 92660-4578
Registry dates
- Enumerated
- 2016-08-23
- Last updated
- 2016-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.