Nicole Alexandra Johnson, LMBT - Charlotte, NC

Nicole Alexandra Johnson, LMBT

Massage Therapist in Charlotte, North Carolina

NPI 1043920945

Nicole Alexandra Johnson is a Massage Therapist based in Charlotte, NC. Nicole Alexandra Johnson practices in Charlotte, NC and has the professional credentials of LMBT. The NPI Number for Nicole Alexandra Johnson is 1043920945 and holds a License No. 12054 (North Carolina).

The current practice location address for Nicole Alexandra Johnson is 4600 Park Rd Ste 380, Charlotte, NC and can be reached out via phone at 704-621-3037.

Location: 4600 Park Rd Ste 380, Charlotte, NC, 28209-3666

NPI Number

1043920945

Provider Name

Nicole Alexandra Johnson

Credential

LMBT

Provider Entity Type

Individual

Gender

Female

Address

4600 Park Rd Ste 380, Charlotte, NC, 28209-3666

Phone Number

704-621-3037

Fax Number

Provider Enumeration Date

12/01/2022

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
12054	01	NC	NORTH CAROLINA BORD OF MASSAGE AND BODYWORK

Address

4600 Park Rd Ste 380

City

Charlotte

State

North Carolina

Zip

28209-3666

Phone Number

704-621-3037

Fax Number

Address

4600 Park Rd Ste 380

City

Charlotte

State

North Carolina

Zip

28209-3666

Phone Number

704-621-3037

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

12054 (North Carolina)

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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