Provider Demographics
NPI:1992183909
Name:HOLLAND, CAROLYN (MS, ATC)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4715 WHITESBURG DR
Mailing Address - Street 2:SPORTSMED
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802
Mailing Address - Country:US
Mailing Address - Phone:256-824-6883
Mailing Address - Fax:
Practice Address - Street 1:126 SPRAGINS HL
Practice Address - Street 2:UNIVERSITY OF ALABAMA IN HUNTSVILLE
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35899-0001
Practice Address - Country:US
Practice Address - Phone:256-457-2175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8752255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer