Provider Demographics
NPI:1275330086
Name:HOLT, ARIEL PAIGE
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:PAIGE
Last Name:HOLT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 COMMANCHE DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-8814
Mailing Address - Country:US
Mailing Address - Phone:423-608-7274
Mailing Address - Fax:
Practice Address - Street 1:746 COMMANCHE DR
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-8814
Practice Address - Country:US
Practice Address - Phone:423-608-7274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program