Individual provider · Type 1 NPI

Michael Gabriel Johnson

Massage Therapist · Fort Worth, TX

NPI number 1790288447 Active

Practice location

7405 Buttonwood Dr
Fort Worth, TX 76137-1308

Call (817) 353-4961 Map

Mailing address

8316 Trace Ridge Pkwy
Fort Worth, TX 76137-5913

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMT104482 (TX)
Massage Therapist Primary 225700000XMT107482 (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 1790288447

Michael Gabriel Johnson's National Provider Identifier is 1790288447, issued on Mar 8, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Worth, TX. The record was last updated on Mar 8, 2018.