Individual provider · Type 1 NPI

Kelly Johnson, L.M.T.

Massage Therapist · St. Joseph, MI

NPI number 1093263329 Active

Practice location

1030 Miners Rd
St. Joseph, MI 49085-9625

Call (269) 408-1688 Map

Fax (269) 408-1692

Mailing address

2787 Phillips Dr
Stevensville, MI 49127-1007

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501001593 (MI)

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 1093263329

Kelly Johnson, L.M.T.'s National Provider Identifier is 1093263329, issued on Sep 15, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Joseph, MI. The record was last updated on Sep 15, 2016.