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Jacob Holloway
NPI 1821609025 · on the registry since 2020
Practice
- Address
- 60 W Sunbridge Dr
Fayetteville, AR 72703 - Phone
- (479) 695-1240
- Organisation at this address
- Elevate Muscle & Joint
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 304
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 171M00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas