Individual provider · Type 1 NPI

Shannon Johnson

Massage Therapist · La Jolla, CA

NPI number 1609719335 Active

Practice location

1130 Wall St # 547
La Jolla, CA 92037-4531

Call (303) 827-6567 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1609719335

Shannon Johnson's National Provider Identifier is 1609719335, issued on Apr 9, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in La Jolla, CA. The record was last updated on Apr 9, 2026.