Individual provider · Type 1 NPI
Rene' Johnson, CMT, LMT, MMP
Massage Therapist · Virginia Beach, VA
NPI number
1831415512
Active
Practice location
700 Baker Road, Suite 115
Virginia Beach, VA 23462
Fax (757) 873-1846
Mailing address
110 Coliseum Crossing, Suite 216
Hampton, VA 23666
Other practice locations
- 703 Thimble Shoals Blvd, Suite C-4, Newport News, VA 23606 · (757) 842-9144
- 11790 Jefferson Ave, Suite 205, Newport News, VA 23606 · (757) 842-9144
- 703 Thimble Shoals Blvd, Suite C-4, Newport News, VA 23606 · (757) 842-9144
- 11790 Jefferson Ave, Suite 205, Newport News, VA 23606 · (757) 842-9144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 0019007580 (VA) |
| Massage Therapist Primary | 225700000X | 0019007580 (VA) |
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 1831415512
Rene' Johnson, CMT, LMT, MMP's National Provider Identifier is 1831415512, issued on Apr 20, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Virginia Beach, VA. The record was last updated on Feb 21, 2019.