Individual provider · Type 1 NPI
Brenda Ann Johnson, LMT
Massage Therapist · St. Clair Shores, MI
NPI number
1104640309
Active
Practice location
30501 Jefferson Ave
St. Clair Shores, MI 48082-1774
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7501005318 (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 1104640309
Brenda Ann Johnson, LMT's National Provider Identifier is 1104640309, issued on Nov 13, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Nov 13, 2024.