Active NPI
Leta Johnson, LMT
- Massage Therapist
- Gallatin, TN
National Provider Identifier
1205085883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1694
- Practice address
- 339 Hancock St Ste 1
Gallatin, TN 37066-6337 - Phone
- (615) 337-6638
- Fax
- (615) 451-0016
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1694 | TN | Primary |
Addresses
Primary practice location
339 Hancock St Ste 1
Gallatin, TN 37066-6337
Mailing address
PO Box 236
Gallatin, TN 37066-0236
Phone (615) 337-6638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1205085883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370660236",
"telephone_number": "615-337-6638",
"fax_number": "615-451-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 HANCOCK ST STE 1",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370666337",
"telephone_number": "615-337-6638",
"fax_number": "615-451-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LETA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-18",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "1694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.