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NPI Code Detail

MEDICARE: MEGAN HOLMES

MEDICARE: MEGAN HOLMES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist157156OK
2225700000XMassage Therapist8291AR

General Provider Information

NPI Number : 1871001040
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN HOLMES
Provider Business Mailing Address
First Line : 462216 E 1023 RD
Second Line :
City : SALLISAW
State : OK
Zip : 74955-8927
Country : US
Telephone Number : 918-774-5403
Fax Number :
Provider Business Practice Location Address
First Line : 6108 S 31ST ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72908-7555
Country : US
Telephone Number : 479-648-1107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2018
Last Update Date : 01/22/2018

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Directions to “ MEGAN HOLMES ” Practice Location

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