Individual provider · Type 1 NPI

Jack Johnson, LMT

Massage Therapist · Goodlettsville, TN

NPI number 1295306900 Active

Practice location

313 Bluebird Dr Ste B
Goodlettsville, TN 37072-2303

Fax (615) 467-8825

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13666 (TN)

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 1295306900

Jack Johnson, LMT's National Provider Identifier is 1295306900, issued on Jul 3, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Goodlettsville, TN. The record was last updated on Jul 3, 2021.