MR. CALVIN D JOHNSON LCMT NPI 1679015283

NPI Information

  • NPI: 1679015283
  • Provider Name: MR. CALVIN D JOHNSON, LCMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 738 UNIVERSITY VILLAGE DR
    BLYTHEWOOD, SC
    ZIP 29016
  • Phone: (803) 754-8432

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NPI Details

MR. Calvin D Johnson, LCMT is a massage therapist in Blythewood, SC. 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. MR. Calvin D Johnson, LCMT NPI is 1679015283. 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:

738 UNIVERSITY VILLAGE DR
BLYTHEWOOD, SC
ZIP 29016-611
Phone: (803) 754-8432
Fax: (803) 754-8411

The enumeration date for this NPI number is 11/14/2016 and was last updated on 11/14/2016.

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 Therapist9912SOUTH CAROLINAYes

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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