Mr David C Johnson, LMT, NCTMB is a
Massage Therapist based in Troy, Illinois. Mr David C Johnson is licensed to practice in Illinois (license number 227010448) and his current practice location is
102 N Main St, Troy, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 667-9766.
NPI number for Mr David C Johnson is 1629304712 and his current mailing address is 102 N Main St, Troy, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629304712.
Healthcare Provider's Profile
Full Name | Mr David C Johnson |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 102 N Main St, Troy, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629304712
- Provider Enumeration Date: 10/23/2009
- Last Update Date: 10/23/2009
Medical Identifiers
Medical identifiers for Mr David C Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629304712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 227010448 (Illinois) | 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. Mr David C 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 |
Mr David C Johnson, LMT, NCTMB 102 N Main St, Troy, IL 62294-1129 Ph: (618) 667-9766 | Mr David C Johnson, LMT, NCTMB 102 N Main St, Troy, IL 62294-1129 Ph: (618) 667-9766 |
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