Mrs Amanda Fay Johnson, LMT is a
Massage Therapist based in New Boston, Michigan. Mrs Amanda Fay Johnson is licensed to practice in Michigan (license number L475986) and her current practice location is
33234 Willow Rd, New Boston, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 778-4808.
NPI number for Mrs Amanda Fay Johnson is 1508269333 and her current mailing address is 33234 Willow Rd, New Boston, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508269333.
Healthcare Provider's Profile
Full Name | Mrs Amanda Fay Johnson |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 33234 Willow Rd, New Boston, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508269333
- Provider Enumeration Date: 10/07/2014
- Last Update Date: 10/07/2014
Medical Identifiers
Medical identifiers for Mrs Amanda Fay Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508269333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | L475986 (Michigan) | 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. Mrs Amanda Fay 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 |
Mrs Amanda Fay Johnson, LMT 33234 Willow Rd, New Boston, MI 48164-9540 Ph: (734) 778-4808 | Mrs Amanda Fay Johnson, LMT 33234 Willow Rd, New Boston, MI 48164-9540 Ph: (734) 778-4808 |
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