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

Holly Tanner, PT

Individual provider Physical Therapist · NPI 1669997888

Holly Tanner, PT is a Physical Therapist in Melbourne, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

205 E Nasa Blvd Ste 100
Melbourne, FL 32901-1953
Phone: (321) 361-5628
Fax: (321) 728-4135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT14594 (FL)

Record details

NPI number1669997888
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 9, 2017
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020
Mailing address3300 S Fiske Blvd, Rockledge, FL 32955-4306

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