Individual
HOLLY COLCLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
27999 OLD STH WALKER RD STE B, WALKER, LA 70785-6048
(225) 271-4083
Mailing address
27999 OLD STH WALKER RD STE B, WALKER, LA 70785-6048
(225) 271-4083
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA8463
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271739208
BLUE CROSS BLUE SHIELD
LA
Enumeration date
01/08/2018
Last updated
01/08/2018
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