Provider Demographics
NPI:1366212052
Name:SEXTON, HOLLY JENNA (PT, DPT)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:JENNA
Last Name:SEXTON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:JENNA
Other - Last Name:HAMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:194 AIKEN RD
Mailing Address - Street 2:
Mailing Address - City:ROSMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28772-9762
Mailing Address - Country:US
Mailing Address - Phone:262-416-2329
Mailing Address - Fax:
Practice Address - Street 1:212 THOMPSON ST STE B
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2895
Practice Address - Country:US
Practice Address - Phone:828-698-6774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP21540225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist