Ben Johnston, LMT
Individual provider Active NPI Massage Therapist · Mount Vernon, IA
NPI 1346634722 · NPPES record last updated Mar 24, 2015
Key facts
- NPI
- 1346634722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 006276 (IA)
- Practice address
- 300 Virgil Ave
Mount Vernon, IA 52314-9569 - Phone
- (319) 895-8655
- Fax
- (319) 895-8651
- NPI assigned
- Mar 24, 2015
- Sex
- Male
- 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 |
|---|---|---|---|
| 006276 | IA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Physical Therapy, P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 006276 | IA | Yes |
Addresses
Primary practice location
300 Virgil Ave
Mount Vernon, IA 52314-9569
Mailing address
302 Massilion St
Stanwood, IA 52337-9788
Phone (319) 540-3860
Other providers in Mount Vernon, IA
- Hope Therapy, P.C.
- Iowa Physical Therapy PC
- Iowa Physicians Clinic Medical Foundation
- Mary Jo M Jacobsmeier-Strait
- Eric T Johnson
- Patricia L Jones
- Julianna Gondek Lisw LLC
- Theodore John Kepros
- Mackenzie Ketchum
- Tiffany Tevolina Khachikyan
All providers in Mount Vernon, IA · Massage Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2015. 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.