JACK JOHNSON LMT - NPI 1295306900 - Massage Therapist in Goodlettsville, TN

Q: What is Jack Johnson's NPI number?

The NPI number for Jack Johnson is 1295306900. It was assigned to this individual provider in the NPPES registry on July 3, 2021.

Q: What is Jack Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Johnson was last updated on July 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jack Johnson Lmt NPPES

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

JACK JOHNSON LMT (NPI 1295306900) is an individual massage therapist in Goodlettsville, Tennessee, licensed in Tennessee (13666) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1295306900

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameJACK JOHNSONCredential: LMT

Location Address313 BLUEBIRD DR STE BGoodlettsville, TN 37072-2303

Mailing Address313 Bluebird Dr Ste BGoodlettsville, TN 37072-2303 · (615) 448-6446 · Fax (615) 467-8825

Phone(615) 448-6446

Fax(615) 467-8825

Sole ProprietorNo

Enumeration DateJuly 3, 2021

NPPES CertifiedJuly 3, 2021

✔ NPI 1295306900 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 TN · 13666

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.

313 BLUEBIRD DR STE B, Goodlettsville, TN 37072

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