Marion E Holden, LMBT
Individual provider Active NPI Massage Therapist · Supply, NC
NPI 1881209237 · NPPES record last updated Sep 12, 2020
Key facts
- NPI
- 1881209237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 18837 (NC)
- Practice address
- 2334 Ocean Hwy W
Supply, NC 28462-4022 - Phone
- (910) 386-6825
- NPI assigned
- Sep 12, 2020
- Sex
- Male
- 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 |
|---|---|---|---|
| 18837 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18837 | NC | Yes |
Addresses
Primary practice location
2334 Ocean Hwy W
Supply, NC 28462-4022
Mailing address
2334 Ocean Hwy W
Supply, NC 28462-4022
Phone (910) 368-6825
Other providers in Supply, NC
- Robert E Hassler
- Tina Maria Hatch
- Olivia Leigh Hintz
- Holden Beach Medical Center PA
- Holden Beach Medical Center, PA
- Frank Loving Holt Jr.
- Michayla Lee Hosmer
- Elizabeth Rose Hyatt
- Independent Nephrology Services, Inc.
- Instride Foot and Ankle Specialists, PLLC
All providers in Supply, NC · Massage Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2020. 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.