Individual provider · Type 1 NPI
Manda Lynn Johnson, LMT
Massage Therapist · Menomonee Falls, WI
NPI number
1063072676
Active
Practice location
N82W15485 Appleton Ave
Menomonee Falls, WI 53051-3711
Mailing address
W215N10083 Hickory Dr
Colgate, WI 53017-9511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 11999-146 (WI) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Another provider at this address
Other massage therapist providers in Menomonee Falls
About NPI 1063072676
Manda Lynn Johnson, LMT's National Provider Identifier is 1063072676, issued on Jun 17, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Menomonee Falls, WI. The record was last updated on Jun 17, 2019.