Provider Demographics
NPI:1669711339
Name:HOLLOWAY, SHARONLEE (KINESIOTHERAPIST)
Entity type:Individual
Prefix:
First Name:SHARONLEE
Middle Name:
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:KINESIOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7463 EIGLEBERRY ST
Mailing Address - Street 2:SUITE 01
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-5711
Mailing Address - Country:US
Mailing Address - Phone:408-603-8691
Mailing Address - Fax:408-842-6316
Practice Address - Street 1:7463 EIGLEBERRY ST
Practice Address - Street 2:SUITE 01
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020
Practice Address - Country:US
Practice Address - Phone:408-603-8691
Practice Address - Fax:408-842-6316
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2018-05-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist