MS. TYLER JOHNSON LMT CCMA CNA NPI 1669195525

NPI Information

NPI: 1669195525
Provider Name: MS. TYLER JOHNSON, LMT, CCMA, CNA
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
15000 CICERO AVE STE 100
OAK FOREST, IL
ZIP 60452
Phone: (219) 315-0565
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MS. Tyler Johnson, LMT, CCMA, CNA is a massage therapist in Oak Forest, IL. 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. Tyler Johnson, LMT, CCMA, CNA NPI is 1669195525. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15000 CICERO AVE STE 100
OAK FOREST, IL
ZIP 60452-480
Phone: (219) 315-0565

The enumeration date for this NPI number is 9/26/2022 and was last updated on 9/26/2022.

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	376K00000X	Nurse's Aide		CNA1003930	INDIANA	No
2	225700000X	Massage Therapist		227022331	ILLINOIS	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: 5/5/2024

NPI Synchronization or Removal

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