Individual provider · Type 1 NPI
Xavier Johnson, NCTMB, CMT, CMMT
Massage Therapist · Forest Park, GA
NPI number
1801810643
Active
Practice location
362 Lee St
Forest Park, GA 30297-2442
Fax (877) 287-9664
Mailing address
PO Box 827
Ellenwood, GA 30294-0827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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 Forest Park
About NPI 1801810643
Xavier Johnson, NCTMB, CMT, CMMT's National Provider Identifier is 1801810643, issued on Jul 26, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Forest Park, GA. The record was last updated on Jul 8, 2007.