MICKIAH JOHNSON LMT NPI 1508621244

NPI Information

  • NPI: 1508621244
  • Provider Name: MICKIAH JOHNSON, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 12641 OLD GLENN HWY STE 202
    EAGLE RIVER, AK
    ZIP 99577
  • Phone: (907) 214-1303

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NPI Details

Mickiah Johnson, LMT is a massage therapist in Eagle River, AK. 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. Mickiah Johnson, LMT NPI is 1508621244. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12641 OLD GLENN HWY STE 202
EAGLE RIVER, AK
ZIP 99577-040
Phone: (907) 214-1303

The enumeration date for this NPI number is 2/20/2024 and was last updated on 7/15/2024.

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 Therapist226809ALASKAYes

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: 3/30/2025

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