Vickie Holbrook
Individual provider Active NPI Massage Therapist · Many, LA
NPI 1386037869 · NPPES record last updated Mar 10, 2015
Key facts
- NPI
- 1386037869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0053 (LA)
- Practice address
- 326 Fisher Rd
Many, LA 71449 - Phone
- (318) 256-0660
- Fax
- (318) 256-0661
- NPI assigned
- Mar 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0053 | LA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0053 | LA | Yes |
Addresses
Primary practice location
326 Fisher Rd
Many, LA 71449
Mailing address
326 Fisher Rd
Many, LA 71449
Phone (318) 256-0660
Other names
- Ms. Vickie Holbrook
Other providers in Many, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.