JENNI JOHNSON PTA, LMT - NPI 1174997076 - Massage Therapist in Kailua, HI

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Jenni Johnson Pta, Lmt NPPES

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

JENNI JOHNSON PTA, LMT (NPI 1174997076) is an individual massage therapist in Kailua, Hawaii, licensed in Hawaii (MAT-16131) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1174997076

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameJENNI JOHNSONCredential: PTA, LMT

Location Address407 ULUNIU ST STE 301Kailua, HI 96734-2537

Mailing Address3150 Brokaw St Apt 5Honolulu, HI 96815-4115

Phone(808) 261-4321

Sole ProprietorNo

Enumeration DateNovember 16, 2015

Last NPPES UpdateFebruary 17, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2024

✔ NPI 1174997076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in HI · MAT-16131

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.

Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License 97 (HI)

407 ULUNIU ST STE 301, Kailua, HI 96734

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