Individual provider · Type 1 NPI

Latasha Johnson, MASSAGE THERAPIST

Massage Therapist · Bedford, TX

NPI number 1720629033 Active

Practice location

1912 Central Dr Ste J
Bedford, TX 76021-5894

Call (817) 692-2869 Map

Mailing address

1848 Western Center Blvd Apt 628
Fort Worth, TX 76131-2263

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMY123216 (TX)
Massage Therapist Primary 225700000XMT123216 (TX)

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 1720629033

Latasha Johnson, MASSAGE THERAPIST's National Provider Identifier is 1720629033, issued on Oct 8, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bedford, TX. The record was last updated on Aug 6, 2020.