NPI 1295306900
Jack Johnson, LMT
Practice location
- Address
- 313 Bluebird Dr STE B, Goodlettsville, TN 37072-2303
- Phone
- (615) 448-6446
- Fax
- (615) 467-8825
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1295306900
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Jul 2021
- Record last updated
- 3 Jul 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.