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

Holly Rudolph

Individual provider Physical Therapy Assistant · NPI 1932870581

Holly Rudolph is a Physical Therapy Assistant in Herrin, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

1900 N Park Ave
Herrin, IL 62948-2742
Phone: (618) 942-2525
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160007391 (IL)

Record details

NPI number1932870581
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021
Mailing address8210 Tunnel Hill Rd, Goreville, IL 62939-2818

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