KELLY JOHNSON L.M.T.
NPI 1093263329
Massage Therapist in Saint Joseph, MI

Active since September 15, 2016
1030 MINERS RD, SAINT JOSEPH, MI 49085(269) 408-1688(269) 408-1692 Get Directions Write a Review

NPPES record last updated: September 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Johnson L.m.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY JOHNSON L.M.T. (NPI 1093263329) is an individual massage therapist in Saint Joseph, Michigan, licensed in Michigan (7501001593) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1093263329
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLY JOHNSONCredential: L.M.T.
Location Address1030 MINERS RDSaint Joseph, MI 49085-9625
Mailing Address2787 Phillips DrStevensville, MI 49127-1007 · (269) 208-8558
Fax(269) 408-1692
Sole ProprietorYes
Enumeration DateSeptember 15, 2016
NPI 1093263329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in MI · 7501001593
Definition

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.

1030 MINERS RD, Saint Joseph, MI 49085

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1030 MINERS RD
SAINT JOSEPH, MI 49085
Counselor (Professional)
1030 MINERS RD
SAINT JOSEPH, MI 49085
Dietitian, Registered
1030 MINERS RD
SAINT JOSEPH, MI 49085
Social Worker (Clinical)
1030 MINERS RD
SAINT JOSEPH, MI 49085
Counselor (Professional)
1030 MINERS RD
SAINT JOSEPH, MI 49085
Social Worker (Clinical)
1030 MINERS RD
SAINT JOSEPH, MI 49085
Psychologist (Clinical)
1030 MINERS RD
SAINT JOSEPH, MI 49085
Dietitian, Registered
1030 MINERS RD
SAINT JOSEPH, MI 49085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Johnson's NPI number?

The NPI number for Kelly Johnson is 1093263329. It was assigned to this individual provider in the NPPES registry on September 15, 2016.

Where is Kelly Johnson located?

Kelly Johnson practices at 1030 Miners Rd, Saint Joseph, MI 49085. The listed phone number is (269) 408-1688.

What is Kelly Johnson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kelly Johnson was last updated on September 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.