Individual provider · Type 1 NPI

Melissa Livia Devlin Johnson, LMT

Massage Therapist · St. Augustine, FL

NPI number 1588945372 Active

Practice location

2200 N Ponce De Leon Blvd, Suite 5
St. Augustine, FL 32084-2600

Call (904) 377-5343 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA26832 (FL)

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 1588945372

Melissa Livia Devlin Johnson, LMT's National Provider Identifier is 1588945372, issued on Sep 7, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 7, 2011.