Provider Demographics
NPI:1306031398
Name:DAHLKE, HOLLY LYNN (DPT)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:LYNN
Last Name:DAHLKE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 GOLD RUSH AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-5818
Mailing Address - Country:US
Mailing Address - Phone:406-465-4196
Mailing Address - Fax:
Practice Address - Street 1:921 EUCLID AVE STE B
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-2453
Practice Address - Country:US
Practice Address - Phone:406-475-4713
Practice Address - Fax:406-318-2618
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1998PT2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic