Active NPI
Allyse Delane Holloman
- Massage Therapist
- Austell, GA
National Provider Identifier
1235019589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT010958
- Practice address
- 4844 Nature TRL
Austell, GA 30106-2771 - Phone
- (470) 893-3441
- NPI assigned
- Sep 6, 2025
- 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 | MT010958 | GA | Primary |
Addresses
Primary practice location
4844 Nature TRL
Austell, GA 30106-2771
Mailing address
4844 Nature TRL
Austell, GA 30106-2771
Phone (470) 893-3441
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 |
|---|---|---|---|
| MT010958 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757116800000",
"number": "1235019589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4844 NATURE TRL",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301062771",
"telephone_number": "470-893-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4844 NATURE TRL",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301062771",
"telephone_number": "470-893-3441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOMAN",
"first_name": "ALLYSE",
"middle_name": "DELANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-06",
"last_updated": "2025-09-06",
"certification_date": "2025-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT010958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.