Provider Demographics
NPI:1508048315
Name:HOLWICK, MARGARET (LMT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:HOLWICK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:PEG
Other - Middle Name:
Other - Last Name:HOLWICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:PO BOX 1086
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59624-1086
Mailing Address - Country:US
Mailing Address - Phone:406-431-9741
Mailing Address - Fax:
Practice Address - Street 1:635 JACKSON ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3655
Practice Address - Country:US
Practice Address - Phone:406-431-9741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAMTA193212225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist