Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB JOHNSON, MT
Active Sole ProprietorJACOB JOHNSON, MT is a Massage Therapist healthcare provider located in AVON, Indiana. NPI 1598368557 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · AVON, IN
Registration Details
- NPI Number
- 1598368557
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2020 (5.6866445421565 yrs)
- Last Updated
- Nov 20, 2020
- License
-
MT22007253 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6319 E US HIGHWAYSUITE 9AVON, IN, 461234612Browse IN providers · Browse ZIP 46123
- Phone
- 3177077151
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in AVON, IN
| Name | Credential | NPI |
|---|---|---|
| AMBER A DEVERALL | LMT | 1033462601 |
| MRS. KRISTIN NICOLE ZAJDEL | LMT, EMT | 1942707518 |
| DANIEL ALAN ZYCH | LMT | 1962102319 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.