IESHA J JOHNSON
NPI 1215706262
Massage Therapist in Park Forest, IL
Active since January 01, 2024
About Iesha J Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IESHA J JOHNSON (NPI 1215706262) is an individual massage therapist in Park Forest, Illinois, licensed in Illinois (227.022523) and active in the NPI registry since January 2024.
NPPES Registry Identity
NPI1215706262
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameIESHA J JOHNSON
Location Address180 MIAMI STPark Forest, IL 60466-2329
Mailing Address180 Miami StPark Forest, IL 60466-2329 · (773) 562-0066
Phone(773) 562-0066
Sole ProprietorNo
Enumeration DateJanuary 1, 2024
NPPES CertifiedDecember 30, 2023
✔ NPI 1215706262 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 IL · 227.022523
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.
180 MIAMI ST, Park Forest, IL 60466
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215706262, enumerated as an "individual" on January 01, 2024.
The provider is located at 180 MIAMI ST PARK FOREST, IL 60466 and the phone number is (773) 562-0066.
Massage Therapist with taxonomy code 225700000X.
