NPI 1063929099

Stephanie Lynn Holley, LMT

Practitioner Massage Therapist Ronceverte, WV

Practice location

Address: 619 Edgar Ave, Ronceverte, WV 24970-1258
Phone: (304) 952-3093
Mailing address: 1015 Lewis Rd, Ronceverte, WV 24970-8317

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2015-3362 (WV)

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Registry record

NPI: 1063929099
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2017
Record last updated: 29 Dec 2017

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.