NPI 1730995739 · live from the CMS NPI Registry
Lakinya Sarrell Johnson
Massage Therapist in Greenville, MS. National Provider Identifier 1730995739, active.
NPI record
| NPI | 1730995739 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 723 Highway 82 E, Greenville, MS 38701 |
| Practice phone | 662-400-0736 |
| Mailing address | 2232 Haycraft St, Greenville, MS 38703 |
| Enumerated | December 5, 2024 |
| Last updated | December 5, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 3868 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.