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BRENDA ANN JOHNSON LMT
NPI 1104640309
Massage Therapist in Saint Clair Shores, MI

Active since November 13, 2024
30501 JEFFERSON AVE, SAINT CLAIR SHORES, MI 48082(810) 292-7758 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenda Ann Johnson Lmt NPPES

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

BRENDA ANN JOHNSON LMT (NPI 1104640309) is an individual massage therapist in Saint Clair Shores, Michigan, licensed in Michigan (7501005318) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1104640309
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameBRENDA ANN JOHNSONCredential: LMT
Location Address30501 JEFFERSON AVESaint Clair Shores, MI 48082-1774
Mailing Address30501 Jefferson AveSaint Clair Shores, MI 48082-1774 · (810) 292-7758
Phone(810) 292-7758
Sole ProprietorYes
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1104640309 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 · 7501005318
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.
30501 JEFFERSON AVE, Saint Clair Shores, MI 48082
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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 Brenda Johnson's NPI number?

The NPI number for Brenda Johnson is 1104640309. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Brenda Johnson located?

Brenda Johnson practices at 30501 Jefferson Ave, Saint Clair Shores, MI 48082. The listed phone number is (810) 292-7758.

What is Brenda 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 Brenda Johnson was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.