Individual provider · Type 1 NPI
Nicole Johnson, LMT
Massage Therapist · Grayslake, IL
NPI number
1265832679
Active
Practice location
430 Barron Blvd
Grayslake, IL 60030-1666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227010219 (IL) |
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.
3 other providers at this address
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About NPI 1265832679
Nicole Johnson, LMT's National Provider Identifier is 1265832679, issued on Sep 4, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grayslake, IL. The record was last updated on Sep 4, 2014.