MICHAEL GABRIEL JOHNSON NPI 1790288447

NPI Information

NPI: 1790288447
Provider Name: MICHAEL GABRIEL JOHNSON
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
7405 BUTTONWOOD DR
FORT WORTH, TX
ZIP 76137
Phone: (817) 353-4961
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Michael Gabriel Johnson is a massage therapist in Fort Worth, TX. 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. Michael Gabriel Johnson NPI is 1790288447. 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:

7405 BUTTONWOOD DR
FORT WORTH, TX
ZIP 76137-308
Phone: (817) 353-4961

The enumeration date for this NPI number is 3/8/2018 and was last updated on 3/8/2018.

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	225700000X	Massage Therapist		MT104482	TEXAS	No
2	225700000X	Massage Therapist		MT107482	TEXAS	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: 4/28/2024

NPI Synchronization or Removal

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