Individual provider · Type 1 NPI

Lisa K. Johnson, LMT

Massage Therapist · Eagle, CO

NPI number 1962903005 Active

Practice location

717A Sylvan Lake Road
Eagle, CO 81631

Call (970) 926-4600 Map

Mailing address

PO Box 5892
Eagle, CO 81631-5892

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0015849 (CO)

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 1962903005

Lisa K. Johnson, LMT's National Provider Identifier is 1962903005, issued on Feb 23, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eagle, CO. The record was last updated on Feb 23, 2018.