Healthcare Provider Details

I. General information

NPI: 1376969287
Provider Name (Legal Business Name): RHONDA HOLMES L.M.T
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2014
Last Update Date: 09/10/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1166 MD- 3 S SUITE 109
GAMBRILLS MD
21054
US

IV. Provider business mailing address

8175 ASPENWOOD WAY
JESSUP MD
20794-8912
US

V. Phone/Fax

Practice location:
  • Phone: 410-970-2321
  • Fax: 410-960-8621
Mailing address:
  • Phone: 240-603-1347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberM04988
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: