WYATT RICHARD JOHNSON LMT
NPI 1194410100
Massage Therapist in Milwaukee, WI

Active since April 06, 2023
5261 N PORT WASHINGTON RD STE 101, MILWAUKEE, WI 53217(414) 332-6001 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wyatt Richard Johnson Lmt NPPES

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

WYATT RICHARD JOHNSON LMT (NPI 1194410100) is an individual massage therapist in Milwaukee, Wisconsin, licensed in Wisconsin (15697-146) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1194410100
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameWYATT RICHARD JOHNSONCredential: LMT
Location Address5261 N PORT WASHINGTON RD STE 101Milwaukee, WI 53217-4903
Mailing Address2861 N Downer AveMilwaukee, WI 53211-3756 · (319) 333-4875
Sole ProprietorNo
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
NPI 1194410100 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 WI · 15697-146
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.
5261 N PORT WASHINGTON RD STE 101, Milwaukee, WI 53217

Other Providers at the Same Location NPPES 2

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

Chiropractor
5261 N PORT WASHINGTON RD STE 101
MILWAUKEE, WI 53217
Chiropractor
5261 N PORT WASHINGTON RD STE 101
MILWAUKEE, WI 53217

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 Wyatt Johnson's NPI number?

The NPI number for Wyatt Johnson is 1194410100. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Wyatt Johnson located?

Wyatt Johnson practices at 5261 N Port Washington Rd Ste 101, Milwaukee, WI 53217. The listed phone number is (414) 332-6001.

What is Wyatt 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 Wyatt Johnson was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.