Mr. Brian Jamison Holloway
Massage Therapist
1893 N Clyde Morris Blvd
Daytona Beach
, Florida 32117-5535
Mr. Brian Jamison Holloway
Massage Therapist
1893 N Clyde Morris Blvd
Daytona Beach
, Florida 32117-5535
(386) 299-1280
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mr. Brian Jamison Holloway
- 57 Orchard Ln Apt N
- Ormond Beach, FL
- Zip : 32176-5709
- Phone : (386) 299-1280
Second Address
- Mr. Brian Jamison Holloway
- 1893 N Clyde Morris Blvd
- Daytona Beach, FL
- Zip : 32117-5535
- Phone : (386) 676-2364
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA53962 | FL |
National Provider Identifier
| NPI | 1013242247 |
|---|---|
| Provider Name | Mr. Brian Jamison Holloway |
| First Address | Ormond Beach, FL 32176-5709 |
| Second Address | Daytona Beach, FL 32117-5535 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2009 |
| Last Update Date | 06/10/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.