Individual provider · Type 1 NPI

Jacqueline Margaret Johnsen, LMT

Massage Therapist · Libertyville, IL

NPI number 1619418019 Active

Practice location

1113 S Milwaukee Ave, Suite 201
Libertyville, IL 60048-3758

Call (847) 693-9775 Map

Mailing address

232 Station Park Cir
Grayslake, IL 60030-2468

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227-012005 (IL)

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 1619418019

Jacqueline Margaret Johnsen, LMT's National Provider Identifier is 1619418019, issued on Mar 17, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Libertyville, IL. The record was last updated on Mar 17, 2017.