| Jacob Johnson, MT | |
|
6319 E Us Highway, Suite 9, Avon, IN 46123-4612 | |
| (317) 707-7151 | |
| Not Available |
| Full Name | Jacob Johnson |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 6319 E Us Highway, Avon, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598368557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MT22007253 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Johnson, MT 6555 E County Road 700 N, Brownsburg, IN 46112-9024 Ph: (925) 549-0467 | Jacob Johnson, MT 6319 E Us Highway, Suite 9, Avon, IN 46123-4612 Ph: (317) 707-7151 |
Mrs. Kristin Nicole Zajdel, LMT, EMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6319 E Us Highway 36 Ste 5, Avon, IN 46123 Phone: 317-943-3149 | |
Daniel Alan Zych, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 188 N Avon Ave Ste 103, Avon, IN 46123 Phone: 815-999-2750 |