Individual provider · Type 1 NPI

Tamara C. Johnson, MST

Massage Therapist · Green Bay, WI

NPI number 1851930119 Active

Practice location

2641 Development Dr
Green Bay, WI 54311-4240

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X3846-146 (WI)

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 1851930119

Tamara C. Johnson, MST's National Provider Identifier is 1851930119, issued on Jan 3, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Green Bay, WI. The record was last updated on Jan 15, 2020.