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

MS. Holly Lodge, MT

Individual provider Massage Therapist · NPI 1962670281

MS. Holly Lodge, MT is a Massage Therapist in Dearborn, Michigan. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

3413 Edgewood St
Dearborn, MI 48124-4167
Phone: (313) 930-9139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1962670281
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT
Sole proprietorYes
NPI enumeratedFebruary 20, 2008
Last updated in NPPESFebruary 20, 2008
Mailing address3413 Edgewood St, Dearborn, MI 48124-4167

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