Active NPI
Emily Dee Holt, LMP
- Massage Therapist
- Jackson, MO
National Provider Identifier
1730951120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2006013037
- Practice address
- 410 W Main St
Jackson, MO 63755-1980 - Phone
- (573) 755-2301
- Fax
- (573) 243-9257
- NPI assigned
- Oct 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2006013037 | MO | Primary |
Addresses
Primary practice location
410 W Main St
Jackson, MO 63755-1980
Mailing address
7626 State Highway 34
Marble Hill, MO 63764-9105
Phone (573) 270-6955
Other practice location 1
2126 Independence St
Cape Girardeau, MO 63703-5826
Phone (573) 986-4400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2006013037 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1730951120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7626 STATE HIGHWAY 34",
"city": "MARBLE HILL",
"state": "MO",
"postal_code": "637649105",
"telephone_number": "573-270-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W MAIN ST",
"city": "JACKSON",
"state": "MO",
"postal_code": "637551980",
"telephone_number": "573-755-2301",
"fax_number": "573-243-9257"
}
],
"practiceLocations": [
{
"address_1": "2126 Independence St",
"address_purpose": "LOCATION",
"city": "Cape Girardeau",
"state": "MO",
"postal_code": "637035826",
"country_code": "US",
"telephone_number": "573-986-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT",
"first_name": "EMILY",
"middle_name": "DEE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2006013037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.