Individual provider Active NPI

Letitia Nicole Davis Holliday, MASSAGE THERAPIST

  • Massage Therapist
  • Killeen, TX
National Provider Identifier
1609686005
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
138725 Issued in TX
Practice address
6004 Siltstone Loop
Killeen, TX 76542-5885
Phone
(512) 277-4917
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 138725 TX Primary

Addresses

Primary practice location

6004 Siltstone Loop
Killeen, TX 76542-5885

Mailing address

6004 Siltstone Loop
Killeen, TX 76542-5885
Phone (512) 277-4917

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

LicenseStateTypeSpecialty
138725TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1609686005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 SILTSTONE LOOP",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425885",
            "telephone_number": "512-277-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 SILTSTONE LOOP",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425885",
            "telephone_number": "512-277-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS HOLLIDAY",
        "first_name": "LETITIA",
        "middle_name": "NICOLE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "138725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.