Individual
RANDALL ODVAR HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT 5009
Contact information
Practice address
1104 BRADSHAW DR, FLORENCE, AL 35630-1438
(256) 229-3665
Mailing address
106 BLAKE AVE, MUSCLE SHOALS, AL 35661-1206
(256) 366-2261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
01/04/2023
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