NPI 1962919308 · live from the CMS NPI Registry
Holly Colclough, LMT
Massage Therapist in Walker, LA. National Provider Identifier 1962919308, active.
NPI record
| NPI | 1962919308 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 27999 Old Sth Walker Rd Ste B, Walker, LA 70785 |
| Practice phone | 225-271-4083 |
| Enumerated | January 8, 2018 |
| Last updated | January 8, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | LA8463 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.