Individual provider · Type 1 NPI

Bradley Shamar Johnson

Massage Therapist · Orlando, FL

NPI number 1942033832 Active

Practice location

1507 Park Center Dr Ste 1K
Orlando, FL 32835-5795

Mailing address

7511 High Lake Dr
Orlando, FL 32818-8722

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA103336 (FL)

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 1942033832

Bradley Shamar Johnson's National Provider Identifier is 1942033832, issued on Aug 26, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orlando, FL. The record was last updated on Aug 26, 2024.