Individual
SALLY BLISS HOLLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NMT, RYT
Contact information
Practice address
557 N MOBILE ST, FAIRHOPE, AL 36532-2609
(404) 822-4469
Mailing address
11568 BRANCHWOOD DR, FAIRHOPE, AL 36532-4902
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
282499-00
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282499-00
NCBTMB
—
Enumeration date
09/30/2020
Last updated
09/30/2020
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