Keri Lee Johnson, LMT is a
Massage Therapist based in Deadwood, South Dakota. Keri Lee Johnson is licensed to practice in South Dakota (license number MT10410) and her current practice location is
802 Main St, Deadwood, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 722-1396.
NPI number for Keri Lee Johnson is 1285215285 and her current mailing address is 802 Main St, Deadwood, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285215285.
Healthcare Provider's Profile
| Full Name | Keri Lee Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 802 Main St, Deadwood, South Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285215285
- Provider Enumeration Date: 04/20/2021
- Last Update Date: 02/21/2022
Medical Identifiers
Medical identifiers for Keri Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285215285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MT10410 (South Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keri Lee Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Keri Lee Johnson, LMT
802 Main St,
Deadwood, SD 57732-1004
Ph: (605) 722-1396 | Keri Lee Johnson, LMT
802 Main St,
Deadwood, SD 57732-1004
Ph: (605) 722-1396 |
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