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Individual
RYAN HOLLEY
Active
Individual
RYAN HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
L1-0075765
DE
225700000X
Massage Therapist
MT-0002855
DE
Other
Enumeration date
02/05/2014
Last updated
07/08/2026
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