JERRY ROY JOHNSTONE L.M.T. NPI 1194115030

NPI Information

NPI: 1194115030
Provider Name: JERRY ROY JOHNSTONE, L.M.T.
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1641 E OSBORN RD
SUITE 6
PHOENIX, AZ
ZIP 85016
Phone: (602) 265-1774
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Jerry Roy Johnstone, L.M.T. is a massage therapist in Phoenix, AZ. 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. Jerry Roy Johnstone, L.M.T. NPI is 1194115030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1641 E OSBORN RD
SUITE 6
PHOENIX, AZ
ZIP 85016-146
Phone: (602) 265-1774
Fax: (602) 265-1738

The enumeration date for this NPI number is 1/30/2015 and was last updated on 1/30/2015.

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		MT-14033	ARIZONA	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: 4/28/2024

NPI Synchronization or Removal

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