Individual provider · Type 1 NPI
Kelly Lynne Johnson, LMT
Massage Therapist · Carlisle, IA
NPI number
1447062468
Active
Practice location
2800 Norgard Cir
Carlisle, IA 50047-8001
Mailing address
16425 Fulton St
Indianola, IA 50125-9055
Other practice locations
- 16425 Fulton St, Indianola, IA 50125-9055 · (515) 689-3858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 005983 (IA) |
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.
About NPI 1447062468
Kelly Lynne Johnson, LMT's National Provider Identifier is 1447062468, issued on Jan 25, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Carlisle, IA. The record was last updated on Jan 25, 2025.