Kyndra M Holloway

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

84626 Issued in CA

Practice address

921 Sir Francis Drake Blvd
Kentfield, CA 94904-1502

Phone

(775) 224-7932

NPI assigned

Oct 17, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1326820036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 NEWTON RD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060421",
            "telephone_number": "775-224-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041502",
            "telephone_number": "775-224-7932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Newton Rd",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897060421",
            "country_code": "US",
            "telephone_number": "775-224-7932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "KYNDRA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "84626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Herbold, PH.D.
• Kane Rene Hernandez
• John Frederick Herschleb, DDS
• Bonnie Louise Hoag, M.F.T.
• Audrey Elizabeth Hoffman, OTD, OTR/L, COMT-UL
• Gretchen Hoskins, MFT
• Courtenay Irene Houk, MA, LMFT
• Dedalus Hyde, PSY.D.
• Bruce Immerman, M.A. MFT
• Brooke P Jackson, PSY.D.

• Massage Therapist in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.