HORACE CLINTON HOLLEY JR. (NPI# 1538351887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538351887 |
Entity Type | Individual |
Full Name | HORACE CLINTON HOLLEY JR. |
Credential | LMT |
Practice Address |
440 S Lawrence Blvd Keystone Heights FL 32656-9221 |
Mailing Address |
440 S Lawrence Blvd Keystone Heights FL 32656 |
Practice Telephone | 3524739960 |
Practice Fax Number | 3524732159 |
Mailing Telephone | 3524739960 |
Mailing Fax Number | 3524732159 |
Enumeration Date | 2007-08-10 |
Last Update Date | 2007-08-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA25086 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 9031 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427659341 | Horace Preston Holley Jr. | Internal Medicine | 5741 Meyer Ave, New Market, MD 21774-6322 | 2020-11-06 |
Street Address |
440 S LAWRENCE BLVD |
City | KEYSTONE HEIGHTS |
State | FL |
Zip Code | 32656-9221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205329455 | Brooke Alyssa Tussinger | Behavior Technician | 5625 Silver Sands Cir, Keystone Heights, FL 32656 | 2018-06-12 |
1467874628 | Lauren Ashlee Hughes | Physical Therapist | 465 S. Lawrence Blvd., Keystone Heights, FL 32656 | 2014-01-07 |
1164697231 | Lindsey Jane Jones Wilkinson | Specialist | 580 Se Holly Ave, Keystone Hgts, FL 32656 | 2008-04-29 |
1114018397 | Tracie C Starling | Dentist | 310 Se Palmetto Ave, Keystone Hgts, FL 32656 | 2006-09-27 |
1740206671 | Donnette N. Beard | Massage Therapist | 7426 State Road 21, Keystone Heights, FL 32656 | 2006-07-14 |
1144501602 | Sherry Denise Chapman | Pharmacist | Walgreens, 115 N Lawrence Blvd, Keystone Heights, FL 32656 | 2011-08-29 |
1932341559 | W O Mcnair | Chore Provider | 501 Se 41st Loop, Apt. 170, Keystone Heights, FL 32656-4207 | 2009-03-27 |
1386180180 | Tristan Hall | Licensed Practical Nurse | 876 Se 46th Loop, Keystone Heights, FL 32656-6264 | 2017-01-17 |
1225239015 | Selena Sandra Plummer | Counselor | 765 Se 53rd St, Keystone Heights, FL 32656-6356 | 2007-05-30 |
1902899958 | Iftikhar Fazal Haq | Family Medicine | 100 Commercial Dr, Keystone Heights, FL 32656-6802 | 2005-08-25 |
Find all providers in zip 32656 |
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 |
---|---|---|---|---|
1407041346 | Julianna Wilkinson | Massage Therapist | 110 Sw Nightingale St, Keystone Heights, FL 32656-9141 | 2007-09-13 |
1265652168 | Laurie Ann Buttry | Massage Therapist | 100 Se Nightingale St, Keystone Heights, FL 32656-9522 | 2007-04-26 |
1740206671 | Donnette N. Beard | Massage Therapist | 7426 State Road 21, Keystone Heights, FL 32656 | 2006-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598204 | Zenus Annzarie Goodyard | Massage Therapist | 3076 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3246 | 2020-11-03 |
1558962886 | Felicia Warner | Massage Therapist | 2750 Cypress Trace Cir Apt 2620, Naples, FL 34119-8077 | 2020-11-03 |
1497355184 | Ashley Feehan | Massage Therapist | 32806 Lister Rd, Dade City, FL 33523-6413 | 2020-10-30 |
1932709904 | Franchesca Bairam | Massage Therapist | 206 37th Ave N, Saint Petersburg, FL 33704-1416 | 2020-10-29 |
1679173538 | Benson Tong | Massage Therapist | 3530 1st Ave N Ste 206, Saint Petersburg, FL 33713-8442 | 2020-10-29 |
1801496989 | Alivia L Mckamey | Massage Therapist | 533 Nw 28th St, Gainesville, FL 32607-2512 | 2020-10-28 |
1992305189 | Julie Accorti | Massage Therapist | 36 Memorial Pkwy Sw, Fort Walton Beach, FL 32548-6512 | 2020-10-28 |
1487254785 | Rigoberto Rosa | Massage Therapist | 51 Ne 24th St, Miami, FL 33137-5385 | 2020-10-27 |
1982204392 | Cindy Figh | Massage Therapist | 11408 Coventry Grove Cir, Lithia, FL 33547-4929 | 2020-10-27 |
1639778152 | Megan A Chapman | Massage Therapist | 1504 Ringmore Ct, Dover, FL 33527-4960 | 2020-10-26 |
Find all providers with the same taxonomy |
City | KEYSTONE HEIGHTS |
Zip Code | 32656 |
Please comment or provide details below to improve the information on HORACE CLINTON HOLLEY JR..
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.