Individual provider · Type 1 NPI
Shaniya Octavia Johnson, LMBT
Massage Therapist · Winston Salem, NC
NPI number
1528834249
Active
Practice location
2912 Lyndhurst Ave
Winston Salem, NC 27103-4006
Mailing address
257 Glen Eagles Dr
Winston Salem, NC 27104-5329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 20175 (NC) |
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 1528834249
Shaniya Octavia Johnson, LMBT's National Provider Identifier is 1528834249, issued on Dec 4, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 4, 2023.