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