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

Tanner Blake Holden

Individual provider Physical Therapist · NPI 1619597705

Tanner Blake Holden is a Physical Therapist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020

Practice location Address checks out

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone: (704) 376-1605
Fax: (704) 335-8448
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P19753 (NC)

Record details

NPI number1619597705
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 20, 2020
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

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