Ms Nicole Deborah Johnson, CMT is a
Massage Therapist based in Howard Lake, Minnesota. Ms Nicole Deborah Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1114 5th St, Howard Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 350-6924.
NPI number for Ms Nicole Deborah Johnson is 1578881603 and her current mailing address is 1114 5th St, Howard Lake, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578881603.
Healthcare Provider's Profile
Full Name | Ms Nicole Deborah Johnson |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 1114 5th St, Howard Lake, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578881603
- Provider Enumeration Date: 05/13/2010
- Last Update Date: 10/24/2013
Medical Identifiers
Medical identifiers for Ms Nicole Deborah Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578881603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | (* (Not Available)) | 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. Ms Nicole Deborah 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 |
Ms Nicole Deborah Johnson, CMT 1114 5th St, Howard Lake, MN 55349 Ph: (763) 350-6924 | Ms Nicole Deborah Johnson, CMT 1114 5th St, Howard Lake, MN 55349 Ph: (763) 350-6924 |
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