Individual provider · Type 1 NPI

Tina Lashay Johnson, LMBT #18043

Massage Therapist · Charlotte, NC

NPI number 1740895531 Active

Practice location

5511 Monroe Rd Ste 206
Charlotte, NC 28212-5503

Mailing address

6922 Lowen Rd
Charlotte, NC 28269-0192

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Reflexologist 173C00000X18043 (NC)
Massage Therapist Primary 225700000X18043 (NC)

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 1740895531

Tina Lashay Johnson, LMBT #18043's National Provider Identifier is 1740895531, issued on Sep 9, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 9, 2020.