Individual provider · Type 1 NPI

Jaquencia D. Johnson, LMT

Massage Therapist · Baton Rouge, LA

NPI number 1467100586 Active

Practice location

5425 Galeria Dr Ste F
Baton Rouge, LA 70816-8004

Call (225) 573-9081 Map

Fax (225) 349-8608

Mailing address

7270 Ruston Dr
Baker, LA 70714-5252

Specialties and licenses

TaxonomyCodeLicense
Health & Wellness Coach 171400000XNone listed
Midwife 176B00000XNone listed
Massage Therapist Primary 225700000XLA8815 (LA)

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 1467100586

Jaquencia D. Johnson, LMT's National Provider Identifier is 1467100586, issued on Mar 17, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 17, 2022.