Individual provider · Type 1 NPI

Tyson Reed Johnston

Massage Therapist · Bryan, TX

NPI number 1093041741 Active

Practice location

3001 Wildflower Dr, 611
Bryan, TX 77802-3061

Mailing address

3001 Wildflower Dr, Suite 611
College Station, TX 77845-1609

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT105386 (TX)

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.

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About NPI 1093041741

Tyson Reed Johnston's National Provider Identifier is 1093041741, issued on Oct 29, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bryan, TX. The record was last updated on Nov 9, 2009.