Individual provider · Type 1 NPI
Tyler Johnson, LMT, CCMA, CNA
Massage Therapist · Oak Forest, IL
NPI number
1669195525
Active
Practice location
15000 Cicero Ave Ste 100
Oak Forest, IL 60452-1480
Mailing address
5613 Hyles Blvd
Hammond, IN 46320-1971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide | 376K00000X | CNA1003930 (IN) |
| Massage Therapist Primary | 225700000X | 227022331 (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.
2 other providers at this address
Other massage therapist providers in Oak Forest
About NPI 1669195525
Tyler Johnson, LMT, CCMA, CNA's National Provider Identifier is 1669195525, issued on Sep 26, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Oak Forest, IL. The record was last updated on Sep 26, 2022.