NPI 1073289872

Charles Johnson

Practitioner Massage Therapist McKinney, TX

Practice location

Address: 6675 Mediterranean Dr STE 406, McKinney, TX 75072-5623
Phone: (504) 346-0485

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 114397 (TX)

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Registry record

NPI: 1073289872
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2021
Record last updated: 20 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.