MARIAH KELLEY JOHNSON
NPI 1871378273
Massage Therapist in Eagan, MN

Active since August 25, 2023
4590 SCOTT TRAIL, 110, EAGAN, MN 55122(651) 454-1000 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariah Kelley Johnson NPPES

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

MARIAH KELLEY JOHNSON (NPI 1871378273) is an individual massage therapist in Eagan, Minnesota, licensed in Iowa (093532) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1871378273
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMARIAH KELLEY JOHNSON
Location Address4590 SCOTT TRAIL, 110Eagan, MN 55122
Mailing Address4590 Scott Trail, 110Eagan, MN 55122 · (651) 454-1000
Sole ProprietorNo
Enumeration DateAugust 25, 2023
NPI 1871378273 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 IA · 093532
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.
4590 SCOTT TRAIL, Eagan, MN 55122

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.

Massage Therapist
4590 SCOTT TRAIL, SUITE 110
EAGAN, MN 55122
Social Worker (Clinical)
4590 SCOTT TRAIL
EAGAN, MN 55122

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 Mariah Johnson's NPI number?

The NPI number for Mariah Johnson is 1871378273. It was assigned to this individual provider in the NPPES registry on August 25, 2023.

Where is Mariah Johnson located?

Mariah Johnson practices at 4590 Scott Trail 110, Eagan, MN 55122. The listed phone number is (651) 454-1000.

What is Mariah 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 Mariah Johnson was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.