Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON HOLLOWAY
Active Sole ProprietorJASON HOLLOWAY is a Recreation Therapist healthcare provider located in MENDENHALL, Mississippi. NPI 1215617410 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · MENDENHALL, MS
Registration Details
- NPI Number
- 1215617410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2023 (3.0852880792008 yrs)
- Last Updated
- Jul 21, 2023
- License
-
53971 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
147 RICHARD JOINER RDMENDENHALL, MS, 391145484Browse MS providers · Browse ZIP 39114
- Phone
- 6018188442
- Primary Specialty
-
Recreation Therapist
225800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.