Active NPI
Julie Kaye Holman, LMT
- Massage Therapist
- Lizton, IN
National Provider Identifier
1194552372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA103895
- Practice address
- 609 Lebanon St
Lizton, IN 46149-9212 - Phone
- (765) 480-8469
- NPI assigned
- Sep 19, 2024
- Last updated
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA103895 | IN | Primary |
Addresses
Primary practice location
609 Lebanon St
Lizton, IN 46149-9212
Mailing address
609 Lebanon St
Lizton, IN 46149-9212
Phone (765) 480-8469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA103895 | IN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1194552372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 LEBANON ST",
"city": "LIZTON",
"state": "IN",
"postal_code": "461499212",
"telephone_number": "765-480-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 LEBANON ST",
"city": "LIZTON",
"state": "IN",
"postal_code": "461499212",
"telephone_number": "765-480-8469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "JULIE",
"middle_name": "KAYE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IN",
"license": "MA103895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lizton, IN
- Jennifer L Behrens, MD
- Amanda Brenton
- Kristina M Coakley
- Lisa J Frye, NP
- Hendricks County Hospital (Lizton Family Medicine)
- Hometown Family Medicine LLC
- Lizton Union Township Hendricks County Indiana Volunteer Fire Dept
- Sarah Irene Luken, LAT, ATC
- Kenneth Mitchum Maynard, D.O.
- North West Hendricks School Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.