NPI 1366064081
Randall Odvar Holm, LMT
Practice location
- Address
- 1104 Bradshaw Dr, Florence, AL 35630-1438
- Phone
- (256) 229-3665
- Mailing address
- 106 Blake Ave, Muscle Shoals, AL 35661-1206
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1366064081
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 May 2020
- Record last updated
- 4 Jan 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.