MARISSA FAITH HOLLOWAY MAT, ATC
NPI 1285494062
Specialist/Technologist - Athletic Trainer in Tulsa, OK

NPI Status: Active since March 20, 2024

Contact Information

1111 W 17TH ST
TULSA, OK
ZIP 74107
Phone: (918) 561-8255

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  • Individual
  • Female
  • Specialist/Technologist
  • Athletic Trainer

About MARISSA HOLLOWAY

This page provides the complete NPI Profile along with additional information for Marissa Holloway, a provider established in Tulsa, Oklahoma with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1285494062 assigned on March 2024. The practitioner's primary taxonomy code is 2255A2300X with license number 2255A2300X (). The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1285494062
Provider Name
MARISSA FAITH HOLLOWAY MAT, ATC
Gender
Female
Entity Type
Individual
Location Address
1111 W 17TH ST TULSA, OK 74107
Location Phone
(918) 561-8255
Mailing Address
7741 NEW SALEM ST SAN DIEGO, CA 92126
Mailing Phone
(858) 531-7356
Is Sole Proprietor?
No
Enumeration Date
03-20-2024
Last Update Date
06-16-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2255A2300X
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285494062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165898012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 8 + 9 + 8 + 0 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1285494062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. BRUCE ALLEN BENJAMIN PH.D.

Specialist

(Research Study)

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 561-1222

PREMIER LABS, LLC

Clinical Medical Laboratory

1111 W 17TH ST
ATTN: JARRAD WAGNER
TULSA, OK
ZIP 74107

(541) 301-8476

STATE OF OKLAHOMA

Clinical Medical Laboratory

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 561-1421

GABRIEL JIMENEZ

Specialist/Technologist

(Athletic Trainer)

1111 W 17TH ST
TULSA, OK
ZIP 74107

(504) 330-2592

JONATHAN HERRICK

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 561-8255

TYRUS SCHMALZ

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 561-8255

ALICIA TOMLIN DO

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 582-1972

JOSHUA GEORGE

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 582-1972

DIPA PUWAR DO

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 582-1972

JONATHON GURULE DO

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 582-1972

EMILY MADRAK LAT, ATC

Specialist/Technologist

(Athletic Trainer)

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 561-8255

EBONEE HAYWARD DO

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 582-1972

AARON KENDALL COTNEY

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 924-9508

BRANDON HART

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 582-1972

DERIC SHELTON

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(580) 504-1755

KAILEE ROE DO

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(580) 641-6682

MR. JACKSON EMORY WOOD

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 582-1972

ROMAN EDWARDS

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(405) 761-7017

IAN FLADIE

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 582-1972

MR. JON MICHAEL ANDERSON

Student in an Organized Health Care Education/Training Program

1111 W 17TH ST
TULSA, OK
ZIP 74107

(918) 521-8774

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285494062, enumerated as an "individual" on March 20, 2024.

The provider is located at 1111 W 17TH ST TULSA, OK 74107 and the phone number is (918) 561-8255.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.