Individual provider · Type 1 NPI

Jacquelyn Johnson, LMT

Massage Therapist · St. Paul, MN

NPI number 1366134512 Active

Practice location

730 Cleveland Ave S
St. Paul, MN 55116-1345

Call (651) 756-8525 Map

Fax (651) 699-1207

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1366134512

Jacquelyn Johnson, LMT's National Provider Identifier is 1366134512, issued on May 25, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Paul, MN. The record was last updated on May 25, 2023.