IndividualActive
Jefferson Holm, DPT, PT, CBIS
NPI 1740622109 · Neurology Physical Therapist · Gilbert, AZ
Provider details
- NPI number
- 1740622109
- Entity type
- Individual
- Primary specialty
- Neurology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, PT, CBIS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 39016 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3961 E Guadalupe Rd Ste 1
Gilbert, AZ 85234-3266
Phone: (480) 699-4845
Fax: (480) 699-5085
Approximate (ZIP-level) locationGet directions
Mailing address
3160 N Arizona Ave Ste 106
Chandler, AZ 85225-7122
Additional practice locations (1)
- 3160 N Arizona Ave Ste 106Chandler, AZ 85225-7122Phone: (480) 699-4585Fax: (480) 699-5085
Registry dates
- Enumerated
- 2013-07-25
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.