Individual provider · Type 1 NPI

Jacqueline Collette Johnson, LMT, NTS

Massage Therapist · Albuquerque, NM

NPI number 1609433804 Active

Practice location

612 Madeira Dr SE
Albuquerque, NM 87108-3614

Call (505) 263-7882 Map

Other practice locations

  • 425 University Blvd NE, Albuquerque, NM 87106-4556 · (505) 263-7882
  • 9204 Menaul Blvd NE Ste 4, Albuquerque, NM 87112-2201 · (505) 883-1212

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9685 (NM)

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 1609433804

Jacqueline Collette Johnson, LMT, NTS's National Provider Identifier is 1609433804, issued on May 22, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Albuquerque, NM. The record was last updated on May 22, 2019.