Manda Lynn Johnson, LMT is a
Massage Therapist based in Menomonee Falls, Wisconsin. Manda Lynn Johnson is licensed to practice in Wisconsin (license number 11999-146) and her current practice location is
N82w15485 Appleton Ave, Menomonee Falls, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 251-2929.
NPI number for Manda Lynn Johnson is 1063072676 and her current mailing address is W215n10083 Hickory Dr, Colgate, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063072676.
Healthcare Provider's Profile
Full Name | Manda Lynn Johnson |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | N82w15485 Appleton Ave, Menomonee Falls, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063072676
- Provider Enumeration Date: 06/17/2019
- Last Update Date: 06/17/2019
Medical Identifiers
Medical identifiers for Manda Lynn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063072676 | NPI | - | NPPES |
11999-146 | Other | WI | MASSAGE THERAPIST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 11999-146 (Wisconsin) | 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. Manda Lynn 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 |
Manda Lynn Johnson, LMT W215n10083 Hickory Dr, Colgate, WI 53017-9511 Ph: (262) 613-9872 | Manda Lynn Johnson, LMT N82w15485 Appleton Ave, Menomonee Falls, WI 53051-3711 Ph: (262) 251-2929 |
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