JACQUELINE COLLETTE JOHNSON LMT, NTS
NPI 1609433804
Massage Therapist in Albuquerque, NM

Active since May 22, 2019
612 MADEIRA DR SE, ALBUQUERQUE, NM 87108(505) 263-7882 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Collette Johnson Lmt, Nts NPPES

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

JACQUELINE COLLETTE JOHNSON LMT, NTS (NPI 1609433804) is an individual massage therapist in Albuquerque, New Mexico, licensed in New Mexico (9685) and active in the NPI registry since May 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609433804
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJACQUELINE COLLETTE JOHNSONCredential: LMT, NTS
Location Address612 MADEIRA DR SEAlbuquerque, NM 87108-3614
Mailing Address612 Madeira Dr SeAlbuquerque, NM 87108-3614 · (505) 263-7882
Sole ProprietorYes
Enumeration DateMay 22, 2019
NPI 1609433804 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 NM · 9685
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.
612 MADEIRA DR SE, Albuquerque, NM 87108

Other Names 1

Former Name (1)Jacqueline Collette Paytiamo

Secondary Practice Locations 2

Location 1425 University Blvd NEAlbuquerque, NM 87106-4556 · Phone (505) 263-7882
Location 29204 Menaul Blvd NE Ste 4Albuquerque, NM 87112-2201 · Phone (505) 883-1212

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 Jacqueline Johnson's NPI number?

The NPI number for Jacqueline Johnson is 1609433804. It was assigned to this individual provider in the NPPES registry on May 22, 2019. The provider is also known as Jacqueline Collette Paytiamo.

Where is Jacqueline Johnson located?

Jacqueline Johnson practices at 612 Madeira Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 263-7882.

What is Jacqueline 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 Jacqueline Johnson was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.