Individual provider · Type 1 NPI

Raemell Cherrod Johnson, LMT

Massage Therapist · Kenmore, NY

NPI number 1104792118 Active

Practice location

989 Kenmore Ave
Kenmore, NY 14217-2924

Call (716) 335-9711 Map

Mailing address

147 Deerfield Ave
Buffalo, NY 14215-3024

Other practice locations

  • 3850 Seneca St Lowr, West Seneca, NY 14224-3409 · (716) 400-5142

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X034052 (NY)

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 1104792118

Raemell Cherrod Johnson, LMT's National Provider Identifier is 1104792118, issued on Oct 15, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kenmore, NY. The record was last updated on Oct 15, 2025.