Most Relevant Information
Provider Data
| NPI Number: | 1003398389 |
| Provider Name: | NICHOLAS HOLKUP DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2123 |
Most Important Dates
| Enumeration Date: | 09/03/2018 |
| Last Updated: | 09/03/2018 |
Provider Practice Location
1200 S COLUMBIA RD
GRAND FORKS
ND
582014044
Practice Location Phone/Fax
| Phone: | 7017805610 |
| Fax: |
Provider Mailing Location
2401 DEMERS AVE
GRAND FORKS
ND
582014183
Provider Mailing Phone/Fax
| Phone: | 7017801891 |
| Fax: | 7017804477 |