Jack Johnson, LMT

NPI #1295306900 in Goodlettsville, Tennessee

Provider Information

NPI Number: 1295306900
Entity Type: Individual
Name: Jack Johnson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 3, 2021
Last Updated: Jul 3, 2021

Practice Location

Address: 313 BLUEBIRD DR STE B
City: Goodlettsville
State: Tennessee
ZIP Code: 37072-2303
Phone: (615) 448-6446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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