Individual provider · Type 1 NPI
Autumn Johnson
Massage Therapist · Baltimore, MD
NPI number
1639422652
Active
Practice location
6903 Bonnie Ridge Dr, Apt T1
Baltimore, MD 21209-5164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | M04778 (MD) |
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 1639422652
Autumn Johnson's National Provider Identifier is 1639422652, issued on Oct 16, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Baltimore, MD. The record was last updated on Oct 16, 2012.