MS. HOLLY LODGE MT
NPI 1962670281
Massage Therapist in Dearborn, MI

Q: What is Holly Lodge's NPI number?

The NPI number for Holly Lodge is 1962670281. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Q: What is Holly Lodge's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Lodge was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2008

3413 EDGEWOOD ST, DEARBORN, MI 48124(313) 930-9139 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Lodge's NPI number?

The NPI number for Holly Lodge is 1962670281. It was assigned to this individual provider in the NPPES registry on February 20, 2008.

Where is Holly Lodge located?

Holly Lodge practices at 3413 Edgewood St, Dearborn, MI 48124. The listed phone number is (313) 930-9139.

What is Holly Lodge's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Holly Lodge was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.