TAMARA LASHAE JOHNSON CTRS MSHA NPI 1790395465

NPI Information

NPI: 1790395465
Provider Name: TAMARA LASHAE JOHNSON, CTRS, MSHA
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
459 PATTERSON RD BLDG 110
HONOLULU, HI
ZIP 96819
Phone: (808) 433-0217
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Tamara Lashae Johnson, CTRS, MSHA is a recreation therapist in Honolulu, HI. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Tamara Lashae Johnson, CTRS, MSHA NPI is 1790395465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

459 PATTERSON RD BLDG 110
HONOLULU, HI
ZIP 96819-522
Phone: (808) 433-0217

The enumeration date for this NPI number is 8/6/2020 and was last updated on 8/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225800000X	Recreation Therapist		70520	MISSISSIPPI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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