Individual provider · Type 1 NPI

Andrea M. Johnson, LMT

Massage Therapist · Bridgton, ME

NPI number 1104398015 Active

Practice location

27 Sandy Creek Rd
Bridgton, ME 04009-4134

Mailing address

854 Stow Rd
Stow, ME 04037-3234

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT4770 (ME)

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 1104398015

Andrea M. Johnson, LMT's National Provider Identifier is 1104398015, issued on Dec 18, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bridgton, ME. The record was last updated on Dec 18, 2018.