MS. STACIE LYNN JOHNSON CMT NPI 1336400969

NPI Information

  • NPI: 1336400969
  • Provider Name: MS. STACIE LYNN JOHNSON, CMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 3065 ROSECRANS PL
    SUITE 105
    SAN DIEGO, CA
    ZIP 92110
  • Phone: (858) 740-7317

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NPI Details

MS. Stacie Lynn Johnson, CMT is a massage therapist in San Diego, CA. 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. MS. Stacie Lynn Johnson, CMT NPI is 1336400969. 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:

3065 ROSECRANS PL
SUITE 105
SAN DIEGO, CA
ZIP 92110-820
Phone: (858) 740-7317

The enumeration date for this NPI number is 5/30/2012 and was last updated on 5/30/2012.

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 Therapist11035CALIFORNIAYes

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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