=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083216378
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RASHIEDA D HOLLINS LMT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/11/2020
-----------------------------------------------------
Last Update Date | 04/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2215 AVENIDA LA QUINTA ST APT 408
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77077-5672
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-415-4709
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2215 AVENIDA LA QUINTA ST APT 408 PO BOX 1677
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77077-5672
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-415-4709
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | MT137654
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------