Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Holloway

Individual provider Recreation Therapist · NPI 1215617410

Jason Holloway is a Recreation Therapist in Mendenhall, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2023

Practice location Address checks out

147 Richard Joiner Rd
Mendenhall, MS 39114-5484
Phone: (601) 818-8442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 53971 (MS)

Record details

NPI number1215617410
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 21, 2023
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address147 Richard Joiner Rd, Mendenhall, MS 39114-5484