Provider Demographics
NPI:1053368779
Name:HOLT, LARRY (DC)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:
Last Name:HOLT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9079 W POST RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-2414
Mailing Address - Country:US
Mailing Address - Phone:702-659-6509
Mailing Address - Fax:702-659-6171
Practice Address - Street 1:9079 W POST RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-2414
Practice Address - Country:US
Practice Address - Phone:702-659-6509
Practice Address - Fax:702-659-6509
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00739111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic