Shirley Marie O'Hearn Holm, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-LMT-LIC-12457 Issued in MT

Practice address

113 W Main St
Missoula, MT 59802-4336

Phone

(406) 499-1049

NPI assigned

Oct 21, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1508544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336650084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34059 SHEEP CAMP RD",
            "city": "BONNER",
            "state": "MT",
            "postal_code": "598239803",
            "telephone_number": "406-499-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W MAIN ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024336",
            "telephone_number": "406-499-1049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34059 Sheep Camp Rd",
            "address_purpose": "LOCATION",
            "city": "Bonner",
            "state": "MT",
            "postal_code": "598239803",
            "country_code": "US",
            "telephone_number": "406-499-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLM",
        "first_name": "SHIRLEY",
        "middle_name": "MARIE O'HEARN",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LMT-LIC-12457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rae Holloron, PMHNP-BC
• Matthew S Holloway
• Ursula Encell Holloway, LCSW
• Alyssa Holly, LCSW
• Coty John Holm
• Geoffrey Dutton Holman, MD
• Phillip M Holman, M.D.
• Heather R Holmes, DPT
• Kevin Richard Holmes, DPT, OCS
• Zachariah Holmes, PHARMD

• Massage Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.