National Provider Identifier
Brenda K Johnson, LMT
Brenda K Johnson, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Alden, NY and a listed phone number of (716) 937-4577.
Profile Overview
- NPI
- 1174714539
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- August 09, 2007
- Last Updated
- August 09, 2007
Practice Location
- 13305 Broadway St
- Alden, NY 14004-1324
Phone: (716) 937-4577
Mailing Address
- 845 Sumner RD
- Darien Center, NY 14040-9711
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1174714539
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Brenda
- Middle Name
- K
- Name Prefix
- MS.
- Credential
- LMT
- Mailing Street Address
- 845 Sumner RD
- Mailing City
- Darien Center
- Mailing State
- NY
- Mailing ZIP Code
- 14040-9711
- Mailing Country
- US
- Practice Street Address
- 13305 Broadway St
- Practice City
- Alden
- Practice State
- NY
- Practice ZIP Code
- 14004-1324
- Practice Country
- US
- Practice Phone
- (716) 937-4577
- Enumeration Date
- August 09, 2007
- Last Updated
- August 09, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)