WYATT RICHARD JOHNSON LMT NPI 1194410100

NPI Information

  • NPI: 1194410100
  • Provider Name: WYATT RICHARD JOHNSON, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 5261 N PORT WASHINGTON RD STE 101
    MILWAUKEE, WI
    ZIP 53217
  • Phone: (414) 332-6001

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NPI Details

Wyatt Richard Johnson, LMT is a massage therapist in Milwaukee, 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. Wyatt Richard Johnson, LMT NPI is 1194410100. 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:

5261 N PORT WASHINGTON RD STE 101
MILWAUKEE, WI
ZIP 53217-903
Phone: (414) 332-6001

The enumeration date for this NPI number is 4/6/2023 and was last updated on 4/6/2023.

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 Therapist15697-146WISCONSINYes

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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