Keri Lee Johnson, LMT
Individual provider Active NPI Massage Therapist · Deadwood, SD
NPI 1285215285 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1285215285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT10410 (SD)
- Practice address
- 802 Main St
Deadwood, SD 57732-1004 - Phone
- (605) 722-1396
- NPI assigned
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT10410 | SD | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stress Relief Massage & Spa LLC | Massage Therapist | Current |
Accepting new patients |
Locations
802 Main St
Deadwood, SD 57732
Phone (605) 722-1396
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT10410 | SD | Yes |
Addresses
Primary practice location
802 Main St
Deadwood, SD 57732-1004
Mailing address
802 Main St
Deadwood, SD 57732-1004
Phone (605) 722-1396
Other providers in Deadwood, SD
- Lennard Hopper
- Peggy L Hubbard
- Kay K Huhnerkoch
- Ashley Johnson
- Brett M Johnson
- Donald Howard Kelley
- Terry Lloyd Keszler
- Jenna Lampe
- Mandi Marie Leite
- Lennard Hopper, D.D.S., P.C.
All providers in Deadwood, SD · Massage Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.