Katy Suzanne Johnson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12505 Issued in CO

Practice address

3606 Morris Ave
Suite 107
Pueblo, CO 81008-1369

Phone

(719) 225-9908

NPI assigned

Oct 3, 2011

Last updated

Jun 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1720362213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 MOHAWK RD APT B",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011227",
            "telephone_number": "719-225-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MORRIS AVE",
            "address_2": "SUITE 107",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081369",
            "telephone_number": "719-225-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATY",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "12505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Eric Johnson, MD
• Helena Ann Johnson, LCSW
• Jamie L. Johnson, DDS
• Katherine Johnson
• Katheryn Johnson, CPT, CRNA, PTC
• Kerri L. Johnson, MS, CTRS
• Melissa D. Johnson, CPNP
• Micah Johnson
• Michael James Johnson, PA
• Patricia Ann Johnson, CMT

• Massage Therapist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.