Whalio Doctors

NPI 1295306900

Jack Johnson, LMT

Practitioner Massage Therapist Goodlettsville, TN

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 13666 (TN)

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.