NPI 1215617410

Jason Holloway

Practitioner Recreation Therapist Mendenhall, MS

Practice location

Address: 147 Richard Joiner Rd, Mendenhall, MS 39114-5484
Phone: (601) 818-8442

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 53971 (MS)

Other Recreation Therapist providers in Mississippi →

Registry record

NPI: 1215617410
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2023
Record last updated: 21 Jul 2023

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.