Individual provider · Type 1 NPI

Patrice Johnson, LMT

Massage Therapist · Emeryville, CA

NPI number 1962058784 Active

Practice location

6460 Hollis St Ste C
Emeryville, CA 94608-1473

Call (415) 968-1705 Map

Mailing address

4019 Mount Day Ct
Antioch, CA 94531-8279

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X76948 (CA)

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 1962058784

Patrice Johnson, LMT's National Provider Identifier is 1962058784, issued on Aug 16, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Emeryville, CA. The record was last updated on Aug 16, 2019.