Individual provider · Type 1 NPI

Melvena Johnson

Massage Therapist · Homewood, IL

NPI number 1356950356 Active

Practice location

900 Ridge Rd Ste 2D-E
Homewood, IL 60430-1933

Mailing address

314 Allegheny St
Park Forest, IL 60466-1462

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X22007100 (IN)
Massage Therapist Primary 225700000X227021103 (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.

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About NPI 1356950356

Melvena Johnson's National Provider Identifier is 1356950356, issued on Jul 24, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Homewood, IL. The record was last updated on Jul 24, 2020.