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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA103336 (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.