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

Kaleab Mycheal Damien Hubbard-Holden, PTA

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1174255210

Kaleab Mycheal Damien Hubbard-Holden, PTA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in King, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

167 Moore Rd Ste 203
King, NC 27021-8770
Phone: (336) 673-6490
Show map & directions

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

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence A7216 (NC)

Record details

NPI number1174255210
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 28, 2022
Last updated in NPPESAugust 12, 2022
Certification dateJune 28, 2022