Individual provider · Type 1 NPI

Nicole S. Johnson, LMT

Massage Therapist · East Lansing, MI

NPI number 1104571066 Active

Practice location

2045 Asher Ct Ste 100
East Lansing, MI 48823-8444

Call (517) 351-9240 Map

Fax (517) 351-9242

Mailing address

1481 Tanforan Pl
Okemos, MI 48864-2314

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501001206 (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 1104571066

Nicole S. Johnson, LMT's National Provider Identifier is 1104571066, issued on Feb 18, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in East Lansing, MI. The record was last updated on Feb 18, 2022.