STEPHANIE LYNN HOLLEY (NPI# 1063929099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063929099 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN HOLLEY |
| Credential | LMT |
| Practice Address |
619 Edgar Ave Ronceverte WV 24970-1258 |
| Mailing Address |
1015 Lewis Rd Ronceverte WV 24970-8317 |
| Practice Telephone | 3049523093 |
| Mailing Telephone | 3049523093 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2015-3362 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891005120 | Stephanie Triolo Holley | Occupational Therapist | 18 Townley Drive, Burnt Hills, NY 12027 | 2010-10-20 |
| Street Address |
619 EDGAR AVE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659668200 | Tanya Hazelwood | Massage Therapist | 804 Chesapeake St, Ronceverte, WV 24970-1426 | 2011-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549209 | Sharon Tickle | Massage Therapist | 1987 Old Princeton Rd, Bluefield, WV 24701-8049 | 2020-08-20 |
| 1912523630 | Rachel Fronck | Massage Therapist | 1636 Rock Cliff Dr, Martinsburg, WV 25401-3274 | 2020-06-18 |
| 1326669987 | Gorgeworks Massage & Fitness, LLC | Massage Therapist | 325 Jones Avenue, Oak Hill, WV 25901-2908 | 2020-05-05 |
| 1669005674 | Dawn Fasig | Massage Therapist | 11 Commerce Dr Ste 100, Morgantown, WV 26501-3858 | 2020-02-18 |
| 1629609227 | Evelyn Garcia | Massage Therapist | 110 Congress St, Berkeley Springs, WV 25411-1510 | 2020-02-01 |
| 1609407279 | Marissa Ann Mitchell | Massage Therapist | 1991 Stadium Dr, Bluefield, WV 24701-3324 | 2020-01-31 |
| 1700417367 | Curran Adler Johnston | Massage Therapist | 1008 Winchester Ave, Martinsburg, WV 25401-1764 | 2020-01-31 |
| 1033754593 | Chrissy Runk | Massage Therapist | 340 Mount Nebo Rd, Buckhannon, WV 26201-6814 | 2019-11-08 |
| 1962045815 | Jeanette Danielle Davis | Massage Therapist | 415 1/2 D St Ste 3, South Charleston, WV 25303-3114 | 2019-10-23 |
| 1215570601 | Mark Halcombe | Massage Therapist | 1208 Trenol Rd., Milton, WV 25541 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.