Individual provider · Type 1 NPI
Jessica Ann Johnson, UMT
Massage Therapist · Cross Lanes, WV
NPI number
1659680700
Active
Practice location
314 Goff Mountain Road, Suite 13
Cross Lanes, WV 25313
Fax (304) 204-6332
Mailing address
314 Goff Mountain Rd., Suite 13
Cross Lanes, WV 25313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 593400-10 (WV) |
| Massage Therapist | 225700000X | 2010-2725 (WV) |
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.
Other massage therapist providers in Cross Lanes
About NPI 1659680700
Jessica Ann Johnson, UMT's National Provider Identifier is 1659680700, issued on Oct 6, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Cross Lanes, WV. The record was last updated on Oct 6, 2010.