Shaniya Octavia Johnson, LMBT - Winston Salem, NC

Shaniya Octavia Johnson, LMBT

Massage Therapist in Winston Salem, North Carolina

NPI 1528834249

Shaniya Octavia Johnson is a Massage Therapist based in Winston Salem, NC. Shaniya Octavia Johnson practices in Winston Salem, NC and has the professional credentials of LMBT. The NPI Number for Shaniya Octavia Johnson is 1528834249 and holds a License No. 20175 (North Carolina).

The current practice location address for Shaniya Octavia Johnson is 2912 Lyndhurst Ave, Winston Salem, NC and can be reached out via phone at 910-360-3616.

Location: 2912 Lyndhurst Ave, Winston Salem, NC, 27104-5329

NPI Number

1528834249

Provider Name

Shaniya Octavia Johnson

Credential

LMBT

Provider Entity Type

Individual

Gender

Female

Address

2912 Lyndhurst Ave, Winston Salem, NC, 27104-5329

Phone Number

910-360-3616

Fax Number

Provider Enumeration Date

12/04/2023

Last Update Date

03/10/2024

Address

2912 Lyndhurst Ave

City

Winston Salem

State

North Carolina

Zip

27103-4006

Phone Number

910-360-3616

Fax Number

Address

2912 Lyndhurst Ave

City

Winston Salem

State

North Carolina

Zip

27103-4006

Phone Number

910-360-3616

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

20175 (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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