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
Mailing address1402 Main St, Po Box 176, Bloomer, WI 54724-1637

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