Individual provider · Type 1 NPI

Wyatt Richard Johnson, LMT

Massage Therapist · Milwaukee, WI

NPI number 1194410100 Active

Practice location

5261 N Port Washington Rd Ste 101
Milwaukee, WI 53217-4903

Call (414) 332-6001 Map

Mailing address

2861 N Downer Ave
Milwaukee, WI 53211-3756

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X15697-146 (WI)

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.

2 other providers at this address

Other massage therapist providers in Milwaukee

See all in Milwaukee →

About NPI 1194410100

Wyatt Richard Johnson, LMT's National Provider Identifier is 1194410100, issued on Apr 6, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Milwaukee, WI. The record was last updated on Apr 6, 2023.