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Latasha Johnson, MASSAGETHERAPIST
Massage Therapist in Bedford, Texas
NPI 1720629033

Latasha Johnson is a Massage Therapist based in Fort Worth, TX. Latasha Johnson practices in Bedford, TX and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Latasha Johnson is 1720629033 and holds a License No. MY123216 (Texas).

The current practice location address for Latasha Johnson is 1912 Central Dr Ste J, Bedford, TX and can be reached out via phone at 817-692-2869.

Location: 1912 Central Dr Ste J, Bedford, TX, 76131-2263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720629033
Provider Name
Latasha Johnson
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
1912 Central Dr Ste J, Bedford, TX, 76131-2263
Phone Number
817-692-2869
Fax Number
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720629033 05 TX
institution
Provider Business Practice Location Address Details
Address
1912 Central Dr Ste J
City
Bedford
State
Texas
Zip
76021-5894
Phone Number
817-692-2869
Fax Number
person
Provider Business Mailing Address Details
Address
1912 Central Dr Ste J
City
Bedford
State
Texas
Zip
76021-5894
Phone Number
817-692-2869
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MY123216 (Texas)
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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