Active NPI
Marissa Holden, LMT, BCTMB
- Massage Therapist
- Louisville, KY
National Provider Identifier
1285847152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- KY-0082
- Practice address
- 7400 New Lagrange Road
Suite 315
Louisville, KY 40222 - Phone
- (502) 533-9010
- NPI assigned
- May 8, 2007
- 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 | KY-0082 | KY | Primary |
Addresses
Primary practice location
7400 New Lagrange Road
Suite 315
Louisville, KY 40222
Mailing address
2021 Payne St
Louisville, KY 40206-2009
Phone (502) 533-9010
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 |
|---|---|---|---|
| KY-0082 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285847152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 PAYNE ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402062009",
"telephone_number": "502-533-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 NEW LAGRANGE ROAD",
"address_2": "SUITE 315",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40222",
"telephone_number": "502-533-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "MARISSA",
"credential": "LMT, BCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "KY-0082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.