Healthcare Provider Details

I. General information

NPI: 1114862463
Provider Name (Legal Business Name): ALEXUS APRIL-CHANDRE HOLLOWAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 OAK ST
COLUMBUS OH
43205-3114
US

IV. Provider business mailing address

1106 OAK ST
COLUMBUS OH
43205-3114
US

V. Phone/Fax

Practice location:
  • Phone: 216-339-7021
  • Fax:
Mailing address:
  • Phone: 216-339-7021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.027297
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: