Individual provider Active NPI

Rachel Joelle Holland, LMT

  • Massage Therapist
  • Missoula, MT
National Provider Identifier
1669095709
Registry record updated May 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LMT-LMT-LIC-15656 Issued in MT
Practice address
127 N Higgins Ave Ste 1
Missoula, MT 59802-4457
Phone
(406) 544-9642
NPI assigned
May 23, 2020
Last updated
May 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X LMT-LMT-LIC-15656 MT Primary

Addresses

Primary practice location

127 N Higgins Ave Ste 1
Missoula, MT 59802-4457

Mailing address

2435 Wyoming St
Missoula, MT 59801-1245
Phone (406) 544-9642

Other identifiers 1

IdentifierTypeStateIssuer
LMT-LMT-LIC-15656OtherMTMASSAGE THERAPIST LICENSE NUMBER

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
LMT-LMT-LIC-15656MTMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1669095709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 WYOMING ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011245",
            "telephone_number": "406-544-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N HIGGINS AVE STE 1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024457",
            "telephone_number": "406-544-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "RACHEL",
        "middle_name": "JOELLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LMT-LIC-15656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST LICENSE NUMBER",
            "identifier": "LMT-LMT-LIC-15656",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; 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.