Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johnathan Holman, PTA

Individual provider Physical Therapy Assistant · NPI 1114255064

Johnathan Holman, PTA is a Physical Therapy Assistant in Bloomer, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.

Licensed in
WI
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1402 Main St Box 176
Bloomer, WI 54724-1637
Phone: (715) 568-4669
Fax: (715) 568-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 1216-019 (WI)

Record details

NPI number1114255064
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 3, 2009
Last updated in NPPESDecember 3, 2009

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