Individual provider · Type 1 NPI

Tyler Mikell Holt, LMT

Massage Therapist · Frederick, MD

NPI number 1477140689 Active

Practice location

245 W Patrick St
Frederick, MD 21701-6934

Call (443) 813-2413 Map

Mailing address

4928 Eleanor Dr
Frederick, MD 21703-2715

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM04599 (MD)

Massage Therapist: 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.

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About NPI 1477140689

Tyler Mikell Holt, LMT's National Provider Identifier is 1477140689, issued on Dec 22, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Frederick, MD. The record was last updated on Dec 22, 2020.