BRENDA ANN JOHNSON LMT NPI 1104640309

NPI Information

  • NPI: 1104640309
  • Provider Name: BRENDA ANN JOHNSON, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 30501 JEFFERSON AVE
    SAINT CLAIR SHORES, MI
    ZIP 48082
  • Phone: (810) 292-7758

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NPI Details

Brenda Ann Johnson, LMT is a massage therapist in Saint Clair Shores, MI. 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. Brenda Ann Johnson, LMT NPI is 1104640309. 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:

30501 JEFFERSON AVE
SAINT CLAIR SHORES, MI
ZIP 48082-774
Phone: (810) 292-7758

The enumeration date for this NPI number is 11/13/2024 and was last updated on 11/13/2024.

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
1225700000XMassage Therapist7501005318MICHIGANYes

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: 11/21/2025

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