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Jacob Johnson, MT
Massage Therapist in Avon, Indiana
NPI 1598368557

Jacob Johnson is a Massage Therapist based in Brownsburg, IN. Jacob Johnson practices in Avon, IN and has the professional credentials of MT. The NPI Number for Jacob Johnson is 1598368557 and holds a License No. MT22007253 (Indiana).

The current practice location address for Jacob Johnson is 6319 E Us Highway, Avon, IN and can be reached out via phone at 317-707-7151.

Location: 6319 E Us Highway, Avon, IN, 46112-9024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598368557
Provider Name
Jacob Johnson
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
6319 E Us Highway, Avon, IN, 46112-9024
Phone Number
317-707-7151
Fax Number
Provider Enumeration Date
11/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6319 E Us Highway
City
Avon
State
Indiana
Zip
46123-4612
Phone Number
317-707-7151
Fax Number
person
Provider Business Mailing Address Details
Address
6319 E Us Highway
City
Avon
State
Indiana
Zip
46123-4612
Phone Number
317-707-7151
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT22007253 (Indiana)
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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