Individual provider · Type 1 NPI
Teresa Johnson, LMT
Massage Therapist · Davenport, IA
NPI number
1629579644
Active
Practice location
10502 118th St
Davenport, IA 52804-9568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 088923 (IA) |
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 1629579644
Teresa Johnson, LMT's National Provider Identifier is 1629579644, issued on Feb 25, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Davenport, IA. The record was last updated on Feb 25, 2018.