TAMARA C JOHNSON MST NPI 1851930119

NPI Information

NPI: 1851930119
Provider Name: TAMARA C JOHNSON, MST
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2641 DEVELOPMENT DR
GREEN BAY, WI
ZIP 54311
Phone: (920) 964-3876
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Tamara C Johnson, MST is a massage therapist in Green Bay, WI. The provider is 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. Tamara C Johnson, MST NPI is 1851930119. 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:

2641 DEVELOPMENT DR
GREEN BAY, WI
ZIP 54311-240
Phone: (920) 964-3876

The enumeration date for this NPI number is 1/3/2020 and was last updated on 1/15/2020.

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	225700000X	Massage Therapist		3846-146	WISCONSIN	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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