Individual provider · Type 1 NPI

Beverly Holloway, LMT

Massage Therapist · Winter Park, FL

NPI number 1649620055 Active

Practice location

1414 Gay Rd Ste 203
Winter Park, FL 32789-2928

Call (321) 356-5177 Map

Fax (877) 325-2279

Mailing address

1328 Winnifred St
Orlando, FL 32805-3771

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA74582 (FL)

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 1649620055

Beverly Holloway, LMT's National Provider Identifier is 1649620055, issued on Jun 16, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winter Park, FL. The record was last updated on Nov 2, 2020.