Individual provider · NPI-1

Ryan Holley, LMT

Registered Nurse, Nurse Massage Therapist (NMT) · Wilmington, DE

NPI number1730503152
StatusActive
Last updated in NPPESJul 8, 2026

Details

NPI
1730503152
Entity type
Individual (NPI-1)
Name
Ryan Holley
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 5, 2014
Certification date
Jul 8, 2026
Last updated
Jul 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WM1400X Registered Nurse, Nurse Massage Therapist (NMT)L1-0075765DEYes
225700000X Massage TherapistMT-0002855DE

Practice location

3654 Silerside Rd
Wilmington, DE 19810

Phone 302-437-6823

Mailing address

17 Perkins Ave
Wilmington, DE 19809-1721

Phone 302-437-6823

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