MS. HOLLY LODGE MT
NPI 1962670281
Massage Therapist in Dearborn, MI
Active since February 20, 2008
About Ms. Holly Lodge Mt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. HOLLY LODGE MT (NPI 1962670281) is an individual massage therapist in Dearborn, Michigan and active in the NPI registry since February 2008.
NPPES Registry Identity
NPI1962670281
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMS. HOLLY LODGECredential: MT
Location Address3413 EDGEWOOD STDearborn, MI 48124-4167
Mailing Address3413 Edgewood StDearborn, MI 48124-4167 · (313) 930-9139
Phone(313) 930-9139
Sole ProprietorYes
Enumeration DateFebruary 20, 2008
✔ NPI 1962670281 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
3413 EDGEWOOD ST, Dearborn, MI 48124
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962670281, enumerated as an "individual" on February 20, 2008.
The provider is located at 3413 EDGEWOOD ST DEARBORN, MI 48124 and the phone number is (313) 930-9139.
Massage Therapist with taxonomy code 225700000X.
