NPI 1013242247

Brian Jamison Holloway, LMT

Practitioner Massage Therapist Daytona Beach, FL

Practice location

Address: 1893 N Clyde Morris Blvd, Daytona Beach, FL 32117-5535
Phone: (386) 676-2364
Mailing address: 57 Orchard Ln APT N, Ormond Beach, FL 32176-5709

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA53962 (FL)

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Registry record

NPI: 1013242247
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Oct 2009
Record last updated: 6 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.