JASON HOLLOWAY NPI 1215617410

NPI Information

  • NPI: 1215617410
  • Provider Name: JASON HOLLOWAY
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 147 RICHARD JOINER RD
    MENDENHALL, MS
    ZIP 39114
  • Phone: (601) 818-8442

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NPI Details

Jason Holloway is a recreation therapist in Mendenhall, MS. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Jason Holloway NPI is 1215617410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

147 RICHARD JOINER RD
MENDENHALL, MS
ZIP 39114-484
Phone: (601) 818-8442

The enumeration date for this NPI number is 7/21/2023 and was last updated on 7/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225800000XRecreation Therapist53971MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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