Individual
MEGAN HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6108 S 31ST ST, FORT SMITH, AR 72908-7555
(479) 648-1107
Mailing address
462216 E 1023 RD, SALLISAW, OK 74955-8927
(918) 774-5403
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
157156
OK
225700000X
Massage Therapist
Primary
8291
AR
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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